Which of the following is not seen in Anorexia nervosa?
**Core Concept**
Anorexia nervosa is a complex eating disorder characterized by a distorted body image and an intense fear of gaining weight, leading to restrictive eating habits and significant weight loss. The pathophysiology involves a combination of genetic, psychological, and environmental factors.
**Why the Correct Answer is Right**
Anorexia nervosa is associated with various physical and psychological complications, including amenorrhea (loss of menstrual cycle), bradycardia (slow heart rate), hypotension (low blood pressure), and osteoporosis (bone thinning). These symptoms are a result of the body's response to caloric deprivation and malnutrition. The hypothalamic-pituitary-adrenal (HPA) axis is also affected, leading to changes in cortisol and other hormone levels.
**Why Each Wrong Option is Incorrect**
**Option A:** Amenorrhea is actually a common feature in anorexia nervosa, often due to the significant weight loss and hormonal changes.
**Option B:** Bradycardia and hypotension are also seen in anorexia nervosa, as the body adapts to the reduced caloric intake and increased stress levels.
**Option C:** Osteoporosis is another complication of anorexia nervosa, resulting from the malnutrition and hormonal changes that affect bone health.
**Clinical Pearl / High-Yield Fact**
It's essential to recognize that anorexia nervosa is a treatable condition, and early intervention is crucial to prevent long-term complications. A multidisciplinary approach, including a team of mental health professionals, dietitians, and medical specialists, is often necessary to address the physical and psychological aspects of the disorder.
**Correct Answer:** D.