This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
Not seen in anorexia nervosa: September 2009 
Select and explain. 
A. Osteoporosis, B. Refusal to feeds, C. Weight loss, D. Menorrhagia
D: Menorrhagia
Answer: D: Menorrhagia 
Explanation: Ans. D: Menorrhagia 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