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Panic disorder — MCCQE Part 1 MCQ

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EasyAnxietyPanic disorderMCCQE Part 1

A 31-year-old woman has recurrent sudden episodes of palpitations, chest tightness, trembling and fear of dying that peak within 10 minutes. Cardiac evaluation is normal, and she now avoids public transit fearing another attack. Which of the following is the most likely diagnosis?

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Correct answer: D — Panic disorder

Recurrent unexpected panic attacks with persistent worry and avoidance suggest panic disorder. Generalized anxiety is chronic excessive worry rather than discrete surges peaking within minutes. Treatment often includes CBT and an SSRI/SNRI, with careful explanation to reduce repeated emergency presentations.

Reference: Canadian Anxiety Guidelines; CANMAT anxiety resources