Psychiatry Quiz #14: Anxiety Disorders

1. A 27-year-old woman presents to her primary care physician complaining of persistent worry about a variety of topics, including her health, finances, and job security, for the past 6 months. She reports difficulty controlling the worry, which is associated with restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbance. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 34-year-old man presents to the emergency department with sudden onset of palpitations, chest pain, sweating, trembling, a feeling of shortness of breath, and a fear of dying that lasted for about 20 minutes. He has had two similar episodes in the past month. He is concerned that he might have a heart problem, although his vital signs and initial cardiac workup are normal. Which of the following is the most likely diagnosis? 

Question 2 of 5

3. A 22-year-old college student presents to the campus health center reporting significant anxiety and fear of speaking in front of her class. She avoids presentations and group discussions, fearing she will embarrass herself or be judged negatively by others. This fear significantly interferes with her participation in classes. Which of the following is the most likely diagnosis? 

Question 3 of 5

4. A 30-year-old woman presents to her psychiatrist reporting recurrent and persistent thoughts that her hands are contaminated after touching door handles, leading to a compulsion to wash her hands repeatedly. She recognizes these thoughts as excessive but feels driven to perform her hand-washing ritual to reduce distress. Which of the following is the most likely diagnosis? 

Question 4 of 5

5. A 25-year-old woman presents to her doctor with complaints of intense fear triggered by seeing spiders. She goes to great lengths to avoid places where she might encounter a spider, such as basements or wooded areas, which has started to interfere with her daily activities. Which of the following is the most likely diagnosis?

Question 5 of 5


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