ADVANCED CLINICAL PSYCHIATRY &
PSYCHOPHARMACOLOGY BOARD REVIEW
COMPREHENSIVE 200-QUESTION
EXAMINATION:
EATING DISORDERS, PHARMACOTHERAPY, &
CLINICAL MANAGEMENT
Focusing on Bulimia Nervosa, Fluoxetine FDA Approval, Neural-
Network Pathophysiology, Cognitive Behavioral Therapy,
Medical Complications, and Psychopharmacological Management
,Examination Overview & Instructions
This comprehensive board-style examination consists of 200 rigorous
multiple-choice questions designed to assess advanced clinical
competence in the diagnosis, pathophysiology, medical stabilization, and
psychopharmacological management of eating disorders—with special
emphasis on Bulimia Nervosa, SSRI pharmacotherapy (specifically
fluoxetine at the FDA-approved target dose of 60 mg/day),
neuroendocrine regulation, psychotherapy modalities (CBT-E, FBT),
and medical complications of purging.
Primary Clinical Anchor Case: A 35-year-old female presents with
recurrent binge eating episodes (at least once weekly for 6 months)
followed by inappropriate compensatory behaviors (self-induced
vomiting twice weekly). Diagnostic evaluation confirms Bulimia
Nervosa (DSM-5-TR). The foundational question regarding FDA-
approved pharmacotherapy for this condition is addressed in Question 1,
followed by 199 expansive clinical scenarios exploring every facet of
eating disorder psychiatry.
Domain 1: Diagnostic Criteria & Phenomenology
1. A clinical researcher is evaluating diagnostic criteria for eating
disorders. Which of the following differentiates Avoidant/Restrictive
Food Intake Disorder (ARFID) from Anorexia Nervosa?
A) Presence of body image disturbance and fear of weight gain
B) Severe restriction leading to nutritional deficiency without body
image distortion
C) Episodic binge eating followed by fasting
D) Refusal to eat specific textures of food
E) Onset exclusively in adulthood
, Correct Answer: B) Severe restriction leading to nutritional
deficiency without body image distortion
Rationale: ARFID involves restrictive eating resulting in failure to
meet nutritional needs, but lacks the core cognitive features of
anorexia nervosa such as body image distortion, fear of weight gain,
or overvaluation of shape.
2. A clinical researcher is evaluating diagnostic criteria for eating
disorders. Which of the following differentiates Avoidant/Restrictive
Food Intake Disorder (ARFID) from Anorexia Nervosa?
A) Presence of body image disturbance and fear of weight gain
B) Severe restriction leading to nutritional deficiency without body
image distortion
C) Episodic binge eating followed by fasting
D) Refusal to eat specific textures of food
E) Onset exclusively in adulthood
Correct Answer: B) Severe restriction leading to nutritional
deficiency without body image distortion
Rationale: ARFID involves restrictive eating resulting in failure to
meet nutritional needs, but lacks the core cognitive features of
anorexia nervosa such as body image distortion, fear of weight gain,
or overvaluation of shape.
3. A clinical researcher is evaluating diagnostic criteria for eating
disorders. Which of the following differentiates Avoidant/Restrictive
Food Intake Disorder (ARFID) from Anorexia Nervosa?
A) Presence of body image disturbance and fear of weight gain
B) Severe restriction leading to nutritional deficiency without body
image distortion
C) Episodic binge eating followed by fasting
, D) Refusal to eat specific textures of food
E) Onset exclusively in adulthood
Correct Answer: B) Severe restriction leading to nutritional
deficiency without body image distortion
Rationale: ARFID involves restrictive eating resulting in failure to
meet nutritional needs, but lacks the core cognitive features of
anorexia nervosa such as body image distortion, fear of weight gain,
or overvaluation of shape.
4. A clinical researcher is evaluating diagnostic criteria for eating
disorders. Which of the following differentiates Avoidant/Restrictive
Food Intake Disorder (ARFID) from Anorexia Nervosa?
A) Presence of body image disturbance and fear of weight gain
B) Severe restriction leading to nutritional deficiency without body
image distortion
C) Episodic binge eating followed by fasting
D) Refusal to eat specific textures of food
E) Onset exclusively in adulthood
Correct Answer: B) Severe restriction leading to nutritional
deficiency without body image distortion
Rationale: ARFID involves restrictive eating resulting in failure to
meet nutritional needs, but lacks the core cognitive features of
anorexia nervosa such as body image distortion, fear of weight gain,
or overvaluation of shape.
5. A clinical researcher is evaluating diagnostic criteria for eating
disorders. Which of the following differentiates Avoidant/Restrictive
Food Intake Disorder (ARFID) from Anorexia Nervosa?
A) Presence of body image disturbance and fear of weight gain
PSYCHOPHARMACOLOGY BOARD REVIEW
COMPREHENSIVE 200-QUESTION
EXAMINATION:
EATING DISORDERS, PHARMACOTHERAPY, &
CLINICAL MANAGEMENT
Focusing on Bulimia Nervosa, Fluoxetine FDA Approval, Neural-
Network Pathophysiology, Cognitive Behavioral Therapy,
Medical Complications, and Psychopharmacological Management
,Examination Overview & Instructions
This comprehensive board-style examination consists of 200 rigorous
multiple-choice questions designed to assess advanced clinical
competence in the diagnosis, pathophysiology, medical stabilization, and
psychopharmacological management of eating disorders—with special
emphasis on Bulimia Nervosa, SSRI pharmacotherapy (specifically
fluoxetine at the FDA-approved target dose of 60 mg/day),
neuroendocrine regulation, psychotherapy modalities (CBT-E, FBT),
and medical complications of purging.
Primary Clinical Anchor Case: A 35-year-old female presents with
recurrent binge eating episodes (at least once weekly for 6 months)
followed by inappropriate compensatory behaviors (self-induced
vomiting twice weekly). Diagnostic evaluation confirms Bulimia
Nervosa (DSM-5-TR). The foundational question regarding FDA-
approved pharmacotherapy for this condition is addressed in Question 1,
followed by 199 expansive clinical scenarios exploring every facet of
eating disorder psychiatry.
Domain 1: Diagnostic Criteria & Phenomenology
1. A clinical researcher is evaluating diagnostic criteria for eating
disorders. Which of the following differentiates Avoidant/Restrictive
Food Intake Disorder (ARFID) from Anorexia Nervosa?
A) Presence of body image disturbance and fear of weight gain
B) Severe restriction leading to nutritional deficiency without body
image distortion
C) Episodic binge eating followed by fasting
D) Refusal to eat specific textures of food
E) Onset exclusively in adulthood
, Correct Answer: B) Severe restriction leading to nutritional
deficiency without body image distortion
Rationale: ARFID involves restrictive eating resulting in failure to
meet nutritional needs, but lacks the core cognitive features of
anorexia nervosa such as body image distortion, fear of weight gain,
or overvaluation of shape.
2. A clinical researcher is evaluating diagnostic criteria for eating
disorders. Which of the following differentiates Avoidant/Restrictive
Food Intake Disorder (ARFID) from Anorexia Nervosa?
A) Presence of body image disturbance and fear of weight gain
B) Severe restriction leading to nutritional deficiency without body
image distortion
C) Episodic binge eating followed by fasting
D) Refusal to eat specific textures of food
E) Onset exclusively in adulthood
Correct Answer: B) Severe restriction leading to nutritional
deficiency without body image distortion
Rationale: ARFID involves restrictive eating resulting in failure to
meet nutritional needs, but lacks the core cognitive features of
anorexia nervosa such as body image distortion, fear of weight gain,
or overvaluation of shape.
3. A clinical researcher is evaluating diagnostic criteria for eating
disorders. Which of the following differentiates Avoidant/Restrictive
Food Intake Disorder (ARFID) from Anorexia Nervosa?
A) Presence of body image disturbance and fear of weight gain
B) Severe restriction leading to nutritional deficiency without body
image distortion
C) Episodic binge eating followed by fasting
, D) Refusal to eat specific textures of food
E) Onset exclusively in adulthood
Correct Answer: B) Severe restriction leading to nutritional
deficiency without body image distortion
Rationale: ARFID involves restrictive eating resulting in failure to
meet nutritional needs, but lacks the core cognitive features of
anorexia nervosa such as body image distortion, fear of weight gain,
or overvaluation of shape.
4. A clinical researcher is evaluating diagnostic criteria for eating
disorders. Which of the following differentiates Avoidant/Restrictive
Food Intake Disorder (ARFID) from Anorexia Nervosa?
A) Presence of body image disturbance and fear of weight gain
B) Severe restriction leading to nutritional deficiency without body
image distortion
C) Episodic binge eating followed by fasting
D) Refusal to eat specific textures of food
E) Onset exclusively in adulthood
Correct Answer: B) Severe restriction leading to nutritional
deficiency without body image distortion
Rationale: ARFID involves restrictive eating resulting in failure to
meet nutritional needs, but lacks the core cognitive features of
anorexia nervosa such as body image distortion, fear of weight gain,
or overvaluation of shape.
5. A clinical researcher is evaluating diagnostic criteria for eating
disorders. Which of the following differentiates Avoidant/Restrictive
Food Intake Disorder (ARFID) from Anorexia Nervosa?
A) Presence of body image disturbance and fear of weight gain
