#may2020mccqe1
A 28-year-old business executive presents at the GP asking for some help because she has been arguing with her boyfriend frequently. She is worried about her weight, and she thinks she may be fat. She has been on a diet and lost 7 kgs in the last 2 months on purpose. She is eating less. She used to do a lot of exercise. Now she says she’s feeling down, has some insomnia and feels tired and without energy. She has not showed up at work. She is worried because recently she got a loan to buy a luxury car. She can’t be fired. She complains about her low mood. She thinks this is weird because she used to be extremely productive. She used to work showing an excellent performance at the office. She even received compliments from her boss. How, she says her boyfriend is angry because her apartment is a chaos. Usually she spends a lot of time cleaning it, even up to 3 AM. She liked it to be perfect, but now it’s a mess. On exam her BMI is 23, no other signs. What is the most probably diagnosis?
(A) Anorexia nervosa
(B) Bipolar disease
(C) Binge eating disorder
(D) Hyperthyroidism
(E) Schizophrenia
A 28-year-old business executive presents at the GP asking for some help because she has been arguing with her boyfriend frequently. She is worried about her weight, and she thinks she may be fat. She has been on a diet and lost 7 kgs in the last 2 months on purpose. She is eating less. She used to do a lot of exercise. Now she says she’s feeling down, has some insomnia and feels tired and without energy. She has not showed up at work. She is worried because recently she got a loan to buy a luxury car. She can’t be fired. She complains about her low mood. She thinks this is weird because she used to be extremely productive. She used to work showing an excellent performance at the office. She even received compliments from her boss. How, she says her boyfriend is angry because her apartment is a chaos. Usually she spends a lot of time cleaning it, even up to 3 AM. She liked it to be perfect, but now it’s a mess. On exam her BMI is 23, no other signs. What is the most probably diagnosis?
(A) Anorexia nervosa
(B) Bipolar disease
(C) Binge eating disorder
(D) Hyperthyroidism
(E) Schizophrenia
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