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Generalized anxiety disorder — MCCQE Part 1 MCQ

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ModerateAnxietyGeneralized anxiety disorderMCCQE Part 1

A 30-year-old woman has 8 months of excessive worry about finances, health, and work. She has muscle tension, poor sleep, and difficulty concentrating most days, but no panic surges, psychosis, or substance use. What is the most likely diagnosis?

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Correct answer: C — Generalized anxiety disorder

Persistent excessive worry across several domains with tension, insomnia, and concentration difficulty for more than 6 months is generalized anxiety disorder. Panic disorder is episodic and abrupt. Bipolar II requires hypomanic episodes. OCD is defined by intrusive obsessions and compulsions, not broad uncontrollable worry.

Reference: Canadian anxiety disorder guidelines