A 20-year-old single woman presents to your office complaining of “episodes of complete terror.”

on Tuesday, May 17, 2011

 

Question Number 8001

A 20-year-old single woman presents to your office complaining of “episodes of complete terror.” She states that “totally out of nowhere” she became extremely anxious, experienced heart palpitations, felt short of breath, began sweating profusely, and believed that she was going to die. She reports that these episodes last approximately 10 minutes and that they have occurred several times over the last 3 months. She constantly worries that they will occur again.

1. What general medical condition should be considered in the differential diagnosis for this patient’s cluster of symptoms?

(A) hypothyroidism
(B) systemic lupus erythematosus (SLE)
(C) pheochromocytoma
(D) folate deficiency
(E) hypertension

2. Which of the following is the most likely diagnosis for this patient’s symptoms?

(A) generalized anxiety disorder (GAD)
(B) social phobia
(C) panic disorder
(D) obsessive-compulsive disorder (OCD)
(E) agoraphobia

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