4 board-style questions on anxiety in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 34-year-old woman presents with excessive worry about multiple life domains (work, health, finances) for the past 8 months. She reports muscle tension, difficulty sleeping, restlessness, and irritability. She has tried relaxation techniques with minimal benefit. Her PHQ-9 is 6 (mild) and GAD-7 is 14 (moderate). She has no substance use history. What is the most appropriate first-line pharmacotherapy?
A 38-year-old woman presents with a 9-month history of persistent, difficult-to-control worry about her job performance, finances, and her children's safety. She reports muscle tension, difficulty concentrating, irritability, and restless sleep. She scores 14 on the GAD-7. She has no history of panic attacks, substance use, or manic episodes. She tried psychotherapy for 3 months with partial improvement and would like to add medication. What is the most appropriate first-line pharmacotherapy?
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