A 31-year-old woman has recurrent unexpected episodes of palpitations, trembling, shortness of breath, and fear of dying. Cardiac evaluation and TSH

Question

A 31-year-old woman has recurrent unexpected episodes of palpitations, trembling, shortness of breath, and fear of dying. Cardiac evaluation and TSH are normal. She avoids grocery stores due to fear of another episode. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Offer CBT and an SSRI

Answer

Recommend alcohol before shopping

Answer

Start antipsychotic therapy

Answer

Perform coronary angiography monthly

Answer

Prescribe chronic alprazolam monotherapy

Panic disorder — USMLE Step 3 MCQ

A 31-year-old woman has recurrent unexpected episodes of palpitations, trembling, shortness of breath, and fear of dying. Cardiac evaluation and TSH are normal. She avoids grocery stores due to fear of another episode. Which of the following would you recommend at the follow-up visit?