{"id":577,"date":"2023-05-03T14:37:00","date_gmt":"2023-05-03T14:37:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=577"},"modified":"2025-10-01T11:39:36","modified_gmt":"2025-10-01T19:39:36","slug":"usmle-step-1-question-of-the-day-anorexia-nervosa","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa","title":{"rendered":"USMLE\u00ae Step 1 Question of the Day: Anorexia nervosa"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa\/#The_correct_answer_to_todays_USMLE%C2%AE_Step_1_Question_is%E2%80%A6\" >The correct answer to today&#8217;s USMLE\u00ae Step 1 Question is&#8230;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa\/#Incorrect_answer_explanations\" >Incorrect answer explanations<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa\/#Main_Explanation\" >Main Explanation<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong><em>This week, we are sharing another USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics.&nbsp;<\/em><\/strong><strong><em>Today&#8217;s case focuses on a 16-year-old girl with a history of menarche at age 13 presents with amenorrhea for the last 5 months. She has joined the gymnastics team at school and is trying to lose weight. Her parent is concerned about her eating habits, and the patient reports being afraid of gaining weight and dissatisfaction with her body. Physical examination reveals hair loss on the head, Tanner stage V breasts, and soft, unpigmented hair growth over the arms. Which of the following hormonal changes is most likely responsible for this patient\u2019s amenorrhea?&nbsp;<\/em><\/strong><strong><em>Can you figure it out?<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A 16-year-old girl is brought to the physician by her parent due to the absence of consistent menstrual cycles. The patient has not had any menstrual cycles for the last 5 months. Menarche occurred at age 13. She has recently joined the gymnastics team at school and is trying to exercise and lose weight. Her parent is worried about her eating habits because she has been eating less to lose weight even though she is already thin. The patient tells the physician she is afraid of gaining weight and that she \u201cdoes not like how her body looks.\u201d Her BMI is 17.4 kg\/m2. On physical examination, hair loss is noticed on the head, and the breasts are Tanner stage V. There is growth of soft, unpigmented hair over the arms. Which of the following hormonal changes is most likely responsible for this patient\u2019s amenorrhea?<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><\/td><td><strong>Gonadotropin-Releasing Hormone (GnRH)<\/strong><\/td><td><strong>Luteinizing hormone (LH)<\/strong><\/td><td><strong>Estrogen&nbsp;<\/strong><\/td><\/tr><tr><td><strong>A.<\/strong><\/td><td><strong>Decreased<\/strong><\/td><td><strong>Decreased<\/strong><\/td><td><strong>Decreased<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><\/td><td><strong>Gonadotropin-Releasing Hormone (GnRH)<\/strong><\/td><td><strong>Luteinizing hormone (LH)<\/strong><\/td><td><strong>Estrogen&nbsp;<\/strong><\/td><\/tr><tr><td><strong>B.<\/strong><\/td><td><strong>Increased&nbsp;<\/strong><\/td><td><strong>Increased&nbsp;<\/strong><\/td><td><strong>Decreased<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><\/td><td><strong>Gonadotropin-Releasing Hormone (GnRH)<\/strong><\/td><td><strong>Luteinizing hormone (LH)<\/strong><\/td><td><strong>Estrogen&nbsp;<\/strong><\/td><\/tr><tr><td><strong>C.<\/strong><\/td><td><strong>Normal&nbsp;<\/strong><\/td><td><strong>Normal&nbsp;<\/strong><\/td><td><strong>Normal<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><\/td><td><strong>Gonadotropin-Releasing Hormone (GnRH)<\/strong><\/td><td><strong>Luteinizing hormone (LH)<\/strong><\/td><td><strong>Estrogen&nbsp;<\/strong><\/td><\/tr><tr><td><strong>D.<\/strong><\/td><td><strong>Increased<\/strong><\/td><td><strong>Decreased<\/strong><\/td><td><strong>Decreased<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><\/td><td><strong>Gonadotropin-Releasing Hormone (GnRH)<\/strong><\/td><td><strong>Luteinizing hormone (LH)<\/strong><\/td><td><strong>Estrogen&nbsp;<\/strong><\/td><\/tr><tr><td><strong>E.<\/strong><\/td><td><strong>Increased<\/strong><\/td><td><strong>Increased<\/strong><\/td><td><strong>Increased<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Scroll down to find the answer!<em>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_USMLE%C2%AE_Step_1_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s USMLE\u00ae Step 1 Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><\/td><td><strong>Gonadotropin-Releasing Hormone (GnRH)<\/strong><\/td><td><strong>Luteinizing hormone (LH)<\/strong><\/td><td><strong>Estrogen&nbsp;<\/strong><\/td><\/tr><tr><td><strong>A.<\/strong><\/td><td><strong>Decreased<\/strong><\/td><td><strong>Decreased<\/strong><\/td><td><strong>Decreased<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Before we get to the Main Explanation, let&#8217;s look at the incorrect answer explanations. Skip to the bottom if you want to see the correct answer right away!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_answer_explanations\"><\/span>Incorrect answer explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The incorrect answers to today&#8217;s USMLE\u00ae Step 1 Question are&#8230;<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><\/td><td><strong>Gonadotropin-Releasing Hormone (GnRH)<\/strong><\/td><td><strong>Luteinizing hormone (LH)<\/strong><\/td><td><strong>Estrogen&nbsp;<\/strong><\/td><\/tr><tr><td><strong>B.<\/strong><\/td><td><strong>Increased&nbsp;<\/strong><\/td><td><strong>Increased<\/strong>&nbsp;<\/td><td><strong>Decreased<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:&nbsp;<\/strong>These labs are seen in patients with primary ovarian insufficiency; however, this patient\u2019s amenorrhea is likely a complication of anorexia nervosa, in which calorie restrictions result in decreased GnRH release, with subsequent decreases in LH and estrogen, and resultant anovulation.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><\/td><td><strong>Gonadotropin-Releasing Hormone (GnRH)<\/strong><\/td><td><strong>Luteinizing hormone (LH)<\/strong><\/td><td><strong>Estrogen&nbsp;<\/strong><\/td><\/tr><tr><td><strong>C.<\/strong><\/td><td><strong>Normal<\/strong>&nbsp;<\/td><td><strong>Normal&nbsp;<\/strong><\/td><td><strong>Normal<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:&nbsp;<\/strong>The patient in this vignette is most likely suffering from anorexia nervosa, wherein there is decreased GnRH, LH, and estrogen.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><\/td><td><strong>Gonadotropin-Releasing Hormone (GnRH)<\/strong><\/td><td><strong>Luteinizing hormone (LH)<\/strong><\/td><td><strong>Estrogen&nbsp;<\/strong><\/td><\/tr><tr><td><strong>D.<\/strong><\/td><td><strong>Increased<\/strong><\/td><td><strong>Decreased<\/strong><\/td><td><strong>Decreased<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:&nbsp;<\/strong>These labs indicate a pituitary pathology causing amenorrhea. This patient\u2019s presentation is most consistent with anorexia nervosa, which causes a different set of laboratory abnormalities.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><\/td><td><strong>Gonadotropin-Releasing Hormone (GnRH)<\/strong><\/td><td><strong>Luteinizing hormone (LH)<\/strong><\/td><td><strong>Estrogen<\/strong>&nbsp;<\/td><\/tr><tr><td><strong>E.<\/strong><\/td><td><strong>Increased<\/strong><\/td><td><strong>Increased<\/strong><\/td><td><strong>Increased<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Incorrect:&nbsp;<\/strong>This patient has amenorrhea, indicating decreased gonadotropic hormones, not increased.<a href=\"https:\/\/www.osmosis.org\/plans\/md\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\/md\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/79.png?w=700\" alt=\"Osmosis ad\" class=\"wp-image-513\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/79.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/79.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Main_Explanation\"><\/span><strong>Main Explanation<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This patient is most likely experiencing amenorrhea due to calorie restriction and weight loss secondary to an underlying diagnosis of anorexia nervosa. Anorexia nervosa is an eating disorder characterized by low body weight, a distorted body image, and an intense fear of gaining weight accompanied by aggressive weight-loss behaviors (e.g., calorie restriction, excessive exercising).&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Anorexia nervosa is associated with multiple complications in almost every organ in the body due to malnutrition and weight loss. Because of the calorie restriction and starvation, protein and fat catabolism results in atrophy in the brain, heart, intestines, muscles, and kidneys. In addition, hormonal disturbances are common in patients with anorexia. Due to severe malnutrition, the hypothalamic-pituitary-gonadal axis is often disturbed in both males and females. Patients with anorexia have decreased GnRH release, leading to decreased LH and FSH, which subsequently decreases estrogen and testosterone. This hormonal disturbance leads to infertility, decreased sexual function, and amenorrhea in females. Amenorrhea in females with anorexia nervosa is one of the most common manifestations of the condition.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In addition, patients tend to have high cortisol and an elevated growth hormone (GH), while insulin-like growth factor-1 is low, indicating GH resistance. Finally, these patients often have thyroid hormone disturbances similar to a euthyroid sick syndrome, in which T3 is low but TSH is normal. T4 is usually variable.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Other complications of anorexia include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gastrointestinal: constipation, bloating, elevated liver enzymes<\/li>\n\n\n\n<li>Neurological: confusion, altered mental status<\/li>\n\n\n\n<li>Dermatological: hair loss, lanugo hair growth (growth of soft, unpigmented hair), dry scaly skin\u00a0<\/li>\n\n\n\n<li>Hematological: pancytopenia<\/li>\n\n\n\n<li>Musculoskeletal: muscle atrophy, osteopenia, osteoporosis\u00a0<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" height=\"539\" width=\"1024\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/80.png?w=1024\" alt=\"diagram of the physcial changes of Anorexia nervosa \" class=\"wp-image-638\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/80.png 1576w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/80.png?resize=300,158 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/80.png?resize=768,404 768w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/80.png?resize=1024,539 1024w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/80.png?resize=1536,809 1536w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span><strong>Major Takeaway<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Amenorrhea is commonly seen in female patients with anorexia nervosa. Calorie restriction results in disruption of the hypothalamic-pituitary-gonadal axis, which is characterized by decreased gonadotropin-releasing hormone (GnRH) release, resulting in low luteinizing hormone (LH) production, low estrogen levels, and anovulation.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>References<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Mehler, P. S., &amp; Brown, C. (2015). Anorexia nervosa &#8211; medical complications. Journal of eating disorders, 3, 11.&nbsp;<a href=\"https:\/\/doi.org\/10.1186\/s40337-015-0040-8\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.1186\/s40337-015-0040-8<\/a>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Moore CA, Bokor BR. Anorexia Nervosa. [Updated 2020 Nov 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from:&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459148\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459148\/<\/a>&nbsp;<em><strong>_________________________<\/strong><br><br><strong>Want more USMLE\u00ae Step 1 practice questions? Try Osmosis today! Access your&nbsp;<em><strong><a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a><\/strong><\/em>&nbsp;and find out why millions of current and future clinicians and caregivers love learning with us.<\/strong><\/em><br><a href=\"https:\/\/www.osmosis.org\/ultimate-guide\/usmle-step-1\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/ultimate-guide\/usmle-step-1\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-step-1-everything-you-need-to-know-banner.png?w=700\" alt=\"Access your free trial and find out why millions of current and future clinicians and caregivers love learning with us.\" class=\"wp-image-615\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-step-1-everything-you-need-to-know-banner.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-step-1-everything-you-need-to-know-banner.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em><sub>The United States Medical Licensing Examination (USMLE\u00ae) is a joint program of the Federation of State Medical Boards (FSMB\u00ae) and National Board of Medical Examiners (NBME\u00ae). Osmosis is not affiliated with NBME nor FSMB.&nbsp;<\/sub><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This week, we are sharing another USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics.&nbsp;Today&#8217;s case focuses on a 16-year-old girl with a history of menarche at age 13 presents with amenorrhea for the last 5 months. She has joined the gymnastics team at school and is trying to lose weight. Her [&hellip;]<\/p>\n","protected":false},"author":202,"featured_media":637,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[27,20,1369,44],"tags":[],"class_list":["post-577","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicine","category-exam-prep","category-step-1-questions","category-step-1"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>USMLE\u00ae Step 1 Question of the Day: Anorexia nervosa - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"USMLE\u00ae Step 1 Question of the Day: Anorexia nervosa - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"This week, we are sharing another USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics.&nbsp;Today&#8217;s case focuses on a 16-year-old girl with a history of menarche at age 13 presents with amenorrhea for the last 5 months. She has joined the gymnastics team at school and is trying to lose weight. Her [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa\" \/>\n<meta property=\"og:site_name\" content=\"Osmosis Blog\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-03T14:37:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-01T19:39:36+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/22.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1081\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Marina Horiates Kerekes, MD &amp; Team\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":[\"Article\",\"BlogPosting\"],\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa\"},\"author\":{\"name\":\"Marina Horiates Kerekes, MD &amp; Team\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/c7e60a94ecf3ec6e6cfe4855957afafc\"},\"headline\":\"USMLE\u00ae Step 1 Question of the Day: Anorexia nervosa\",\"datePublished\":\"2023-05-03T14:37:00+00:00\",\"dateModified\":\"2025-10-01T19:39:36+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa\"},\"wordCount\":995,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/22.webp\",\"articleSection\":[\"Allopathic Medicine (MD)\",\"Exam Prep\",\"USMLE Step 1\",\"USMLE\u00ae Step 1\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa\",\"url\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa\",\"name\":\"USMLE\u00ae Step 1 Question of the Day: Anorexia nervosa - Osmosis Blog\",\"isPartOf\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/22.webp\",\"datePublished\":\"2023-05-03T14:37:00+00:00\",\"dateModified\":\"2025-10-01T19:39:36+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa#primaryimage\",\"url\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/22.webp\",\"contentUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/22.webp\",\"width\":1081,\"height\":1080,\"caption\":\"USMLE\u00ae Step 1 Question of the Day: Anorexia nervosa\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.osmosis.org\/blog\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"USMLE\u00ae Step 1 Question of the Day: Anorexia nervosa\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#website\",\"url\":\"https:\/\/www.osmosis.org\/blog\/\",\"name\":\"Osmosis Blog\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.osmosis.org\/blog\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#organization\",\"name\":\"Osmosis Blog\",\"url\":\"https:\/\/www.osmosis.org\/blog\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/07\/OsmosisElsevierStacked.png\",\"contentUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/07\/OsmosisElsevierStacked.png\",\"width\":1276,\"height\":596,\"caption\":\"Osmosis Blog\"},\"image\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/logo\/image\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/c7e60a94ecf3ec6e6cfe4855957afafc\",\"name\":\"Marina Horiates Kerekes, MD &amp; Team\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/c4eaddbf095676223204097f8973e0eed2b2b435a8c32f8f6b8c06da77819aa6?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/c4eaddbf095676223204097f8973e0eed2b2b435a8c32f8f6b8c06da77819aa6?s=96&d=mm&r=g\",\"caption\":\"Marina Horiates Kerekes, MD &amp; Team\"},\"description\":\"Authors: Marina Horiates Kerekes, MD &amp; Osmosis Question Writing Team\",\"url\":\"https:\/\/www.osmosis.org\/blog\/author\/marinahoriateskerekesandteam\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"USMLE\u00ae Step 1 Question of the Day: Anorexia nervosa - Osmosis Blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa","og_locale":"en_US","og_type":"article","og_title":"USMLE\u00ae Step 1 Question of the Day: Anorexia nervosa - Osmosis Blog","og_description":"This week, we are sharing another USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics.&nbsp;Today&#8217;s case focuses on a 16-year-old girl with a history of menarche at age 13 presents with amenorrhea for the last 5 months. She has joined the gymnastics team at school and is trying to lose weight. Her [&hellip;]","og_url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa","og_site_name":"Osmosis Blog","article_published_time":"2023-05-03T14:37:00+00:00","article_modified_time":"2025-10-01T19:39:36+00:00","og_image":[{"width":1081,"height":1080,"url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/22.webp","type":"image\/webp"}],"author":"Marina Horiates Kerekes, MD &amp; Team","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":["Article","BlogPosting"],"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa#article","isPartOf":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa"},"author":{"name":"Marina Horiates Kerekes, MD &amp; Team","@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/c7e60a94ecf3ec6e6cfe4855957afafc"},"headline":"USMLE\u00ae Step 1 Question of the Day: Anorexia nervosa","datePublished":"2023-05-03T14:37:00+00:00","dateModified":"2025-10-01T19:39:36+00:00","mainEntityOfPage":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa"},"wordCount":995,"commentCount":0,"publisher":{"@id":"https:\/\/www.osmosis.org\/blog\/#organization"},"image":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa#primaryimage"},"thumbnailUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/22.webp","articleSection":["Allopathic Medicine (MD)","Exam Prep","USMLE Step 1","USMLE\u00ae Step 1"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa","url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa","name":"USMLE\u00ae Step 1 Question of the Day: Anorexia nervosa - Osmosis Blog","isPartOf":{"@id":"https:\/\/www.osmosis.org\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa#primaryimage"},"image":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa#primaryimage"},"thumbnailUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/22.webp","datePublished":"2023-05-03T14:37:00+00:00","dateModified":"2025-10-01T19:39:36+00:00","breadcrumb":{"@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa#primaryimage","url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/22.webp","contentUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/22.webp","width":1081,"height":1080,"caption":"USMLE\u00ae Step 1 Question of the Day: Anorexia nervosa"},{"@type":"BreadcrumbList","@id":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-anorexia-nervosa#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.osmosis.org\/blog"},{"@type":"ListItem","position":2,"name":"USMLE\u00ae Step 1 Question of the Day: Anorexia nervosa"}]},{"@type":"WebSite","@id":"https:\/\/www.osmosis.org\/blog\/#website","url":"https:\/\/www.osmosis.org\/blog\/","name":"Osmosis Blog","description":"","publisher":{"@id":"https:\/\/www.osmosis.org\/blog\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.osmosis.org\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.osmosis.org\/blog\/#organization","name":"Osmosis Blog","url":"https:\/\/www.osmosis.org\/blog\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/logo\/image\/","url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/07\/OsmosisElsevierStacked.png","contentUrl":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/07\/OsmosisElsevierStacked.png","width":1276,"height":596,"caption":"Osmosis Blog"},"image":{"@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/c7e60a94ecf3ec6e6cfe4855957afafc","name":"Marina Horiates Kerekes, MD &amp; Team","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/c4eaddbf095676223204097f8973e0eed2b2b435a8c32f8f6b8c06da77819aa6?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/c4eaddbf095676223204097f8973e0eed2b2b435a8c32f8f6b8c06da77819aa6?s=96&d=mm&r=g","caption":"Marina Horiates Kerekes, MD &amp; Team"},"description":"Authors: Marina Horiates Kerekes, MD &amp; Osmosis Question Writing Team","url":"https:\/\/www.osmosis.org\/blog\/author\/marinahoriateskerekesandteam"}]}},"jetpack_featured_media_url":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/22.webp","jetpack-related-posts":[{"id":3896,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-2-ck-question-of-the-day-prolactinoma","url_meta":{"origin":577,"position":0},"title":"USMLE\u00ae Step 2 CK Question of the Day: Prolactinoma","author":"Marina Horiates Kerekes, MD &amp; Team","date":"August 10, 2022","format":false,"excerpt":"Here's another USMLE\u00ae Step 2 CK Question of the Day!\u00a0Today's case involves a\u00a025-year-old woman with amenorrhea and white discharge from her breasts. Can you figure it out? A 25-year-old woman comes to her primary care physician because of a six-month history of\u00a0amenorrhea. The patient previously had regular menstrual cycles at\u2026","rel":"","context":"In &quot;Allopathic Medicine (MD)&quot;","block_context":{"text":"Allopathic Medicine (MD)","link":"https:\/\/www.osmosis.org\/blog\/category\/medicine"},"img":{"alt_text":"","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/umsle-prolactinoma.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/umsle-prolactinoma.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/umsle-prolactinoma.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/umsle-prolactinoma.webp 2x"},"classes":[]},{"id":9081,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-antipsychotic-medication","url_meta":{"origin":577,"position":1},"title":"USMLE\u00ae Step 1 Question of the Day:\u00a0Antipsychotic medication","author":"Rowan Bell, MD &amp; Marina Horiates Kerekes, MD","date":"January 14, 2026","format":false,"excerpt":"A patient with schizophrenia develops involuntary movements after antipsychotic treatment. Learn which medication carries the highest risk and how atypicals are named.","rel":"","context":"In &quot;Allopathic Medicine (MD)&quot;","block_context":{"text":"Allopathic Medicine (MD)","link":"https:\/\/www.osmosis.org\/blog\/category\/medicine"},"img":{"alt_text":"USMLE Step 1 Question of the day: Antipsychotic medication","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/01\/Step-1-Question-of-the-day-Antipsychotic-medication.png","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/01\/Step-1-Question-of-the-day-Antipsychotic-medication.png 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/01\/Step-1-Question-of-the-day-Antipsychotic-medication.png 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/01\/Step-1-Question-of-the-day-Antipsychotic-medication.png 2x"},"classes":[]},{"id":1793,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-sheehan-syndrome","url_meta":{"origin":577,"position":2},"title":"USMLE\u00ae Step 1 Question of the Day: Sheehan Syndrome","author":"Marina Horiates Kerekes, MD &amp; Team","date":"August 31, 2022","format":false,"excerpt":"This week, we are sharing another USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics.\u00a0Today's case involves a 34-year-old woman with an inability to breastfeed her baby.\u00a0Can you figure it out? A 34-year-old woman, gravida 1 para 1, comes to the clinic due to an inability to\u2026","rel":"","context":"In &quot;Allopathic Medicine (MD)&quot;","block_context":{"text":"Allopathic Medicine (MD)","link":"https:\/\/www.osmosis.org\/blog\/category\/medicine"},"img":{"alt_text":"USMLE\u00ae Step 1 Question of the Day: Sheehan Syndrome","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/60.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/60.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/60.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/60.webp 2x"},"classes":[]},{"id":1117,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-turner-syndrome","url_meta":{"origin":577,"position":3},"title":"USMLE\u00ae Step 1 Question of the Day: Turner syndrome","author":"Marina Horiates Kerekes, MD &amp; Team","date":"June 7, 2023","format":false,"excerpt":"This week, we are sharing another USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics.\u00a0Today's case focuses on a 5-month-old female infant that is admitted to the pediatric intensive care unit for surgical treatment of preductal coarctation of the aorta. During subsequent evaluation, the patient is found\u2026","rel":"","context":"In &quot;Allopathic Medicine (MD)&quot;","block_context":{"text":"Allopathic Medicine (MD)","link":"https:\/\/www.osmosis.org\/blog\/category\/medicine"},"img":{"alt_text":"","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-turner-syndrome.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-turner-syndrome.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-turner-syndrome.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/usmle-turner-syndrome.webp 2x"},"classes":[]},{"id":619,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-bicornuate-uterus","url_meta":{"origin":577,"position":4},"title":"USMLE\u00ae Step 1 Question of the Day: Bicornuate uterus","author":"Marina Horiates Kerekes, MD &amp; Team","date":"March 15, 2023","format":false,"excerpt":"This week, we are sharing another USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics.\u00a0Today's case focuses on a 73-year-old woman with shortness of breath. Past medical history is notable for hypertension, chronic obstructive pulmonary disease, and type II diabetes mellitus.\u00a0Can you figure it out? A 32-year-old\u2026","rel":"","context":"In &quot;Allopathic Medicine (MD)&quot;","block_context":{"text":"Allopathic Medicine (MD)","link":"https:\/\/www.osmosis.org\/blog\/category\/medicine"},"img":{"alt_text":"","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/bicornuate-uterus.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/bicornuate-uterus.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/bicornuate-uterus.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/bicornuate-uterus.webp 2x"},"classes":[]},{"id":770,"url":"https:\/\/www.osmosis.org\/blog\/usmle-step-1-question-of-the-day-child-abuse","url_meta":{"origin":577,"position":5},"title":"USMLE\u00ae Step 1 Question of the Day: Child abuse","author":"Marina Horiates Kerekes, MD &amp; Team","date":"January 11, 2023","format":false,"excerpt":"This week, we are sharing another USMLE\u00ae Step 1-style practice question to test your knowledge of medical topics.\u00a0Today's case focuses on a 6-month-old boy who was taken to a hospital following an accident. Physical examination reveals several bruises over the trunk and extremities at different stages of healing, which the\u2026","rel":"","context":"In &quot;Allopathic Medicine (MD)&quot;","block_context":{"text":"Allopathic Medicine (MD)","link":"https:\/\/www.osmosis.org\/blog\/category\/medicine"},"img":{"alt_text":"","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/child-abuse.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/child-abuse.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/child-abuse.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/child-abuse.webp 2x"},"classes":[]}],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/577","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/users\/202"}],"replies":[{"embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/comments?post=577"}],"version-history":[{"count":1,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/577\/revisions"}],"predecessor-version":[{"id":639,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/577\/revisions\/639"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/media\/637"}],"wp:attachment":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/media?parent=577"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/categories?post=577"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/tags?post=577"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}