Tremulousness in Medicine / Internal Medicine — 19yo Woman | Psychiatry | SMLE Q#1432
SMLE Question #1432
Medicine / Internal Medicine
Psychiatry
Last updated: February 2026
A 19-year-old woman has had intense fear of sandstorms since childhood. When she hears a storm is approaching, she develops marked anxiety with tremulousness and urges her family to leave. During the storm, she stays in bed, covers her head, and avoids windows and doors. She functions well in college and is comfortable with classmates and strangers. She denies persistent excessive worry about multiple life areas, recurrent unexpected panic attacks, or avoidance of social situations. What is the most likely diagnosis?
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