8 board-style questions on cbt & behavioral therapy in the PulseMD family medicine question bank — physician-reviewed, 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 26-year-old woman presents with recurrent episodes of sudden-onset palpitations, chest tightness, shortness of breath, diaphoresis, trembling, and an overwhelming fear of dying. Episodes last 10-15 minutes, occur unpredictably 2-3 times per week, and have occasionally awakened her from sleep. She has visited the emergency department three times in the past month; each time cardiac workup including ECG, troponin, and echocardiography was normal. She has begun avoiding driving alone, grocery stores, and social gatherings for fear of having an episode in public. What is the most appropriate long-term treatment strategy?
A 26-year-old woman presents with recurrent unexpected panic attacks (palpitations, diaphoresis, shortness of breath, chest tightness, derealization, and fear of dying) occurring 2-3 times weekly for 3 months. Between attacks, she constantly worries about having another attack and avoids shopping malls and public transit. Cardiac workup and thyroid function are normal. What is the recommended treatment approach?
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