Question 05:

Which of the following is most likely to be present in a patient with protein - calorie malnutrition?

Tachycardia
Hypertension
Hyperthermia
Bradycardia
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Explanation

There are many findings on physical examination that may assist with confirming the diagnosis of anorexia nervosa, including low body weight, hypothermia, bradycardia and hypotension. Other changes may include dry skin, lanugo hair, hair loss or thinning, cool peripheries/acrocyanosis. The most important determination to be made on initial (and subsequent) examination is whether there is acute medical compromise from protein-calorie malnutrition, requiring urgent intervention. Therefore evidence of bradycardia, hypotension and hypothermia should be sought. 

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