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Panic disorder with agoraphobia — MCCQE Part 1 MCQ

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ModerateAnxietyPanic disorder with agoraphobiaMCCQE Part 1

A 22-year-old student has recurrent unexpected episodes of intense fear with palpitations, diaphoresis, chest tightness, sense of impending doom x 10-15 min, 2-3x/week. Avoiding public places. Normal cardiac workup. Most likely diagnosis?

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Correct answer: DPanic disorder with agoraphobia

Recurrent unexpected panic attacks + avoidant behaviour = panic disorder with agoraphobia. CANMAT: SSRIs first-line. Benzodiazepines not recommended as maintenance.

Reference: https://pmc.ncbi.nlm.nih.gov/articles/PMC4120194/; https://www.camh.ca/en/health-info/mental-illness-and-addiction-index/anxiety-disorders