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BIPC Final Practice Exam

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Which medication is listed as a pharmacologic treatment for bulimia nervosa but is known to lower the seizure threshold and should be avoided?
Correct Answer:
Bupropion
Explanation:
The key idea is safety in pharmacologic treatment for bulimia nervosa. Bupropion stands out because it lowers the seizure threshold, and in bulimia nervosa patients there are often electrolyte disturbances from purging (like low potassium or chloride) that further raise seizure risk. Because of this heightened risk, bupropion is avoided in bulimia. In contrast, fluoxetine and sertraline are SSRIs with evidence supporting their use for bulimia and they don’t have the same seizure risk profile in this context. Vyvanse is a stimulant not standardly used to treat bulimia nervosa, so it isn’t the medication chosen for this scenario.

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