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NBME 19 Answers

nbme19/Block 1/Question#36 (reveal difficulty score)
36 yo woman presents to ED after believing ...
Panic disorder ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: psych repeat

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submitted by โˆ—abhishek021196(119)
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The "Diagnostic and Statistical Manual for Mental Disorders," (DSM-5) defines a panic attack as a sudden onset of intense fear during which time at least four of the following physical and psychological symptoms are present:

Chest pain or discomfort, Chills or hot flashes, Excessive sweating, Feelings of choking, Fear of dying, Fear of losing control or "going crazy", Feeling dizzy, unsteady, light-headed, or faint, Feelings of unreality (derealization) or being detached from oneself (depersonalization), Heart palpitations, pounding heart, or accelerated heart rate, Nausea or abdominal distress, Numbness and tingling sensations (paresthesias), Sensations of shortness of breath or smothering, Trembling or shaking.

To differentiate b/w panic disorder (sudden, recurrent panic attacks) and GAD (constant, excessive worrying hampering everyday activities) : https://www.verywellmind.com/panic-disorder-vs-gad-2584211

Acute stress disorder - usually post stressor/traumatic event.

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submitted by โˆ—an_improved_me(91)
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i usually think about it as: a pt with multiple episodes of Sx similar to Heart attack that resolve on their own, and a completely benign workup.. >> panic disorder

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