26-year-old Woman in Medicine / Internal Medicine — 26yo Woman | Psychiatry | SMLE Q#4097
SMLE Question #4097
Medicine / Internal Medicine
Psychiatry
Objective: OBJ-253
Last updated: February 2026
A 26-year-old woman has 6 months of recurrent crying spells, low mood, irritability, and fatigue that start 5–7 days before menses and resolve within a few days after bleeding begins. Symptoms impair her work performance. She has no suicidal ideation and no other medical problems. She asks which lifestyle approach may help her mood and daily functioning during this period. Which type of exercise is most appropriate to recommend as first-line?
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