Eating disorders Quiz: Ace Your Exams

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A 16-year-old boy is brought to the physician by his parent due to “bad breath.” The patient tells the physician that he has had a foul-smelling odor and taste in his mouth for the past month. The patient also tells the physician he is feeling ashamed of himself because “I can’t control my eating sometimes.” He describes frequent episodes in which he will eat multiple bags of chips within several minutes, followed by an intense feeling of guilt. He has no past medical history. The patient’s height is 165 cm and his weight is 65 kg. He is in the 50th percentile for height and 75th percentile for weight, both of which have remained the same since his last visit 6 months ago. Oral examination reveals multiple dental caries as well as erosion of the enamel. Hand examination reveals calluses on the knuckles. Which of the following medications is contraindicated given this patient’s presentation? 

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