This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Sleep disorders and eating disorders, Subject name: Anatomy
bulimia nervosa is treated with 
Select and explain. 
A. fluoxetine, B. clozapine, C. pimozide, D. lurasidone
A: fluoxetine
Answer: A: fluoxetine 
Explanation: Bulimia nervosa * Gender==== more common in females * Age=======adolescence * Comorbidity=== depression and social phobia * Duration====3 months * Criteria= * Binge eating at least once a week for 3 months * Uses laxatives, diuretics, self-induced vomiting * Association= * Impulsive behaviors * increased interest in sex * They may be of normal weight * Less secretive * Mood disorders * Complication * Electrolyte abnormalities * Hypokalemia * Hypochloremia alkalosis * Russel's sign==== as these patients uses their fingers to be stick out in the throat and vomit, there is a lesion in meta carpo phalangeal joints. * Drugs * Carbamazepine * MAOI * SSRI Ref. kaplon and sadock, synopsis of psychiatry, 11 th edition, pg no 509