This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Psychiatry
Not seen in anorexia nervosa: 
Select and explain. 
A. Osteoporosis, B. Refusal to feeds, C. Weight loss, D. Menorrhagia
D: Menorrhagia
Answer: D: Menorrhagia 
Explanation: Physical Signs of anorexia nervosa * Excessive weight loss * Scanty or absent menstrual periods * Thinning hair - Dry skin * Cold ors wollen hands and feet Bloated or upset stomach * Downy hair covering the body Low blood pressure * Fatigue * Abnormal hea rhythms *Osteoporosis Psychological and Behavioral Signs in anorexia nervosa * Distoed perception of self (insisting they are overweight when they are thin) * Being preoccupied with food Refusing to eat * Inability to remember things * Refusing to acknowledge the seriousness of the illness Obsessive-compulsive behavior * Depression REF : Oxford text book of psychiatry 3rd Ed