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Review Question - QID 106576

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QID 106576 (Type "106576" in App Search)
An 18-year-old male is seen for a routine physical prior to starting college. He will be moving from Ohio to California, away from his family for the first time. His temperature is 36.8 deg C (98.2 deg F), pulse is 74/min, and blood pressure is 122/68 mmHg. BMI is 24. On questioning, he reveals that he has a habit of binge eating during times of stress, particularly during exams. He then feels guilty about his behavior and attempts to compensate by going to the gym, sometimes for 4+ hours per day. He is disturbed by this behavior and feels out of control. He denies ever vomiting as a means of loosing weight. What is the most likely diagnosis?