No. No bitmap or image commands. It's all done with sprites.
However, to make a box from a 1 pixel image.
img = LoadImage("1pix.png")
spr1 = CreateSprite(img)
spr2 = CreateSprite(img)
spr3 = CreateSprite(img)
spr4 = CreateSprite(img)
SetSpriteScale(spr1, 10, 1)
SetSpriteScale(spr2, 10, 1)
SetSpriteScale(spr3, 1, 10)
SetSpriteScale(spr4, 1, 10)
SetSpritePosition(spr1, 10, 10)
SetSpritePosition(spr2, 10, 20)
SetSpritePosition(spr3, 10, 10)
SetSpritePosition(spr4, 20, 10)
This should create a 10x10 empty box. There are Box2D commands to take these sprites and join them so they'll move as one entity as well.
You are still probably better off using an image that is closer to the scale you'll want in the game and just resizing it as needed so you don't have to mess with all this, but I wanted to show that it can be done fairly easy.