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  #1  
Old 03-19-2013
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Question Anxiety Question

A 42 yr old man who is an accountant comes to the physician because of an 8 month history of anxiety during company meetings since being promoted as an area manager. In his new position he is required to make weekly presentations to 5 other area managers of board of directors. He says he is gripped by anxiety whenever he conducts the presentations or even thinks about them. He describes feelings of dizziness, palpitation, sweatiness & general dread.He tries to avoid making presentations and is concerned that his reactions are noticeable and embarrassing. His afraid that he may faint of anxiety during presentation. Which of the following is the most likely diagnosis?

A. Generalized anxiety disorder
B. Social phobia
C. Agoraphobia
D. Down Syndrome
E. Panic Disorder
F. Major Depressive Disorder

Please explain. Many thanks!
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  #2  
Old 03-19-2013
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I think its B. Social Phobia.
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Old 03-19-2013
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yes. fear of public speaking and the related are Social Phobias.
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Old 03-19-2013
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C - i think this is from uworld.
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Old 03-19-2013
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Quote:
Originally Posted by samren17 View Post
C - i think this is from uworld.
IT is NBME q. I found it via some other web sites.
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  #6  
Old 03-20-2013
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Agoraphobia is an anxiety disorder characterized by anxiety in situations where the sufferer perceives the environment as being difficult to escape or get help, such as wide-open spaces, and uncontrollable social situations like in shopping malls, airports, bridges

Answer is B
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  #7  
Old 03-20-2013
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^ correct.
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Old 03-20-2013
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Default .

In GAD we don't know the cause ..... so its B
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Old 03-20-2013
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Would it be Social Phobia ?
Acc. to FA, Social Phobia is exaggerated fear of embarrassment in social situations like public speaking or using public restrooms etc...
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  #10  
Old 03-20-2013
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Quote:
Originally Posted by Evergreen View Post
IT is NBME q. I found it via some other web sites.
my bad,seems like im getting the same question wrong twice.fml.
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  #11  
Old 03-21-2013
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these questions can be confusing, on face value i think the answer is social phobia, but for some reason Iam inclined to putting panic disorder
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Old 03-21-2013
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^

"He tries to avoid making presentations and is concerned that his reactions are noticeable and embarrassing"..

this part of the question stem yells out Social Phobia. More specific answer.

there are some components of Panic disorder in this q but it just doesn't fit well.
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  #13  
Old 06-18-2013
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its social phobia , more precisely adjustment disorder that should be in the option
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  #14  
Old 06-21-2013
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Default b

It is definitely social phobia, I put agoraphobia on nbme and got it wrong
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  #15  
Old 12-15-2015
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It is social phobia....

People with panic disorder experience a horrible anxiety attack accompanied by many physical symptoms that are originally interpreted as a physical, medical problem. Socially-anxious people experience horrible anxiety in social situations that lead them to stay away from other people because of the anxiety it causes. They see anxiety as a "fear" and do not believe it is caused by a physical, medical condition.

Panic and agoraphobic people are many times very social. In fact, the majority of panic people enjoy the company of talking and being with other people.
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  #16  
Old 01-15-2016
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u right answer is b
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  #17  
Old 02-24-2016
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Its B - Social phobia
i have seen similar question in Kaplan Qbank
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  #18  
Old 03-11-2016
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its B- social Phobia
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  #19  
Old 03-13-2016
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Social phobia in this question. Though DSM 5 tend to think it's called performance anxiety which is distinct from general social anxiety. So if there's performance anxiety there choose it over social phobia
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