Which of the following is NOT a typical sign or symptom of bulimia nervosa?

• A. Recurrent episodes of binge eating followed by compensatory behaviors such as vomiting
• B. Significantly restricted food intake leading to extreme weight loss
• C. Excessive concern with body weight and shape
• D. Feelings of lack of control during eating episodes

Answer: (B)

Verified step by step guidance

1. Step 1: Understand the core characteristics of bulimia nervosa. Bulimia nervosa is an eating disorder characterized primarily by recurrent episodes of binge eating followed by compensatory behaviors to prevent weight gain, such as self-induced vomiting, misuse of laxatives, or excessive exercise.
2. Step 2: Identify typical signs and symptoms of bulimia nervosa. These include binge eating episodes, compensatory behaviors (like vomiting), excessive concern with body weight and shape, and feelings of lack of control during eating episodes.
3. Step 3: Recognize that significantly restricted food intake leading to extreme weight loss is more characteristic of another eating disorder, anorexia nervosa, rather than bulimia nervosa.
4. Step 4: Compare each option to the known symptoms of bulimia nervosa to determine which one does not fit. The option describing significantly restricted food intake and extreme weight loss is inconsistent with bulimia nervosa's typical presentation.
5. Step 5: Conclude that the symptom 'Significantly restricted food intake leading to extreme weight loss' is NOT a typical sign or symptom of bulimia nervosa, distinguishing it from anorexia nervosa.