Q:

A 19 year old female is brought in by her parents. They are concerned about her BMI which is 12. She is satisfied with it. What is the next step?

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A 19 year old female is brought in by her parents. They are concerned about her BMI which is 12. She is satisfied with it. What is the next step?


  1. Psychiatric referral for admission
  2. Family counselling
  3. Social service
  4. Start antidepo
  5. Medical admission

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The key is E. Medical admission. [The diagnosis is anorexia nervosa. At this critical low BMI medical

admission is indicated to improve her deficiency states and proper nutrition. BMI <15kg/m2, rapid

weight loss + evidence of system failure requires urgent referral to eating disorder unit (EDU), medical

unit (MU) or paediatric medical wards (Ref: OHCS)].

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