A 28-Year-Old Man Comes to the Office Due to Frequent

question 211

Multiple Choice

A 28-year-old man comes to the office due to frequent anxiety attacks over the past several months.  He says, "At first I shook it off because the attacks subside rapidly, but now I'm worried it will happen again while I'm at work or driving.  All of a sudden I feel faint, start to shake and sweat, and my heart starts racing.  I thought my heart was going to jump out of my chest."  The patient has no history of cardiac disease and takes no medication.  He has a history of alcohol use disorder in his early twenties and smokes marijuana occasionally.  The patient appears calm and his vital signs are within normal limits.  Physical examination and ECG show no abnormalities.  Which of the following is the most appropriate pharmacotherapy?

• A)Antipsychotic
• B)Benzodiazepine
• C)Beta blocker
• D)Monoamine oxidase inhibitor
• E)Selective serotonin reuptake inhibitor
• F)Tricyclic antidepressant

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