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Generalized anxiety disorder — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CareGeneralized anxiety disorderUSMLE Step 3

A 44-year-old accountant reports excessive worry about finances, health, and work on most days for 9 months. She feels keyed up, has muscle tension, poor sleep, and difficulty concentrating. Thyroid-stimulating hormone is normal. She drinks one coffee daily and does not use drugs. Which of the following is the most likely diagnosis?

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Correct answer: E — Generalized anxiety disorder

Generalized anxiety disorder causes persistent, difficult-to-control worry across domains with associated tension, sleep disturbance, and impaired concentration.

Reference: APA Anxiety Disorder Guidance