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A 26-Year-Old Man Is Brought to the Emergency Department by a Colleague

question 235

Multiple Choice

A 26-year-old man is brought to the emergency department by a colleague due to anxiety. The patient experienced a 15-minute episode of chest pain, shortness of breath, and dizziness prior to giving a presentation at a regional meeting. He says, "My girlfriend used to help me prepare for all of my meetings. She always knew what to say and how to handle everything. I can't manage at work without her." His girlfriend broke up with him 2 weeks ago after a 9-year relationship. The patient's colleague, who has known him since high school, says, "He did everything to make her happy. He let her choose his car and agreed to get a cat even though he's allergic." The patient reports feeling "lost and on edge" since that time and has avoided leaving his apartment. He is anxious about driving on his own and is planning to move in with his parents when his lease expires. The patient denies prior episodes of chest pain, shortness of breath, or dizziness and has no significant medical history. Family history is significant for generalized anxiety disorder in his mother. Vital signs are within normal limits, and physical examination is noncontributory. ECG is normal. Which of the following is the most likely diagnosis in this patient?

Definitions:

Government Contract

A legally binding agreement between a business and a government entity for the supply of goods or services.

Best Interests

Actions or decisions that are considered most beneficial to the well-being or success of an individual or group.

Socially Responsible

Acting with consideration for the ethical, environmental, and community implications of one's actions, often linked to sustainable business practices.

Engage In Philanthropy

The act of donating time, resources, or money to charitable causes in order to contribute to the welfare of others.