system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
Please refer to the summary above to answer this question
Which of the following is the most appropriate pharmacotherapy?"
"Patient Information
Age: 30 years
Gender: F, self-identified
Ethnicity: unspecified
Site of Care: office
History
Reason for Visit/Chief Concern: “I'm so anxious about work.”
History of Present Illness:
7-month history of sensation that her heart is racing whenever she gives oral presentations at work
she has also had moderate axillary sweating during these presentations and feels more anxious and embarrassed when this happens
feels otherwise fine when she is interacting with her colleagues more casually around the workplace
Past Medical History:
alcohol use disorder, now abstinent for the past 2 years
acute appendicitis, treated with appendectomy 5 years ago
verrucae planae
Medications:
disulfiram, folic acid, topical salicylic acid
Allergies:
no known drug allergies
Psychosocial History:
does not smoke, drink alcohol, or use illicit drugs
Physical Examination
Temp Pulse Resp BP O2 Sat Ht Wt BMI
36.7°C
(98°F)
82/min 18/min 115/72 mm Hg –
171 cm
(5 ft 7 in)
58 kg
(128 lb)
20 kg/m2
Appearance: no acute distress
Pulmonary: clear to auscultation
Cardiac: regular rate and rhythm; normal S1 and S2; no murmurs
Abdominal: has well-healed laparotomy port scars; no tenderness, guarding, masses, bruits, or hepatosplenomegaly
Extremities: no tenderness to palpation, stiffness, or swelling of the joints; no edema
Skin: warm and dry; there are several skin-colored, flat-topped papules on the dorsal bilateral hands
Neurologic: alert and oriented; cranial nerves grossly intact; no focal neurologic deficits
Psychiatric: describes her mood as “okay”; speech has a rapid rate but normal rhythm; thought process is organized"
assistant
Propranolol