Approach to somatic symptom and related disorders Quiz: Ace Your Exams
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A 34-year-old woman comes to the neurology clinic with hand tremors for the past 9 months. The tremor began after the death of her father, which has been a significant source of emotional stress. Over the past several months, electromyography, brain and spinal MRI, and autoimmune testing have revealed no cause. There is no family history of essential tremor, Parkinson disease, or Huntington disease. Anxiety about the tremor led the patient to leave work and focus on finding its cause. Temperature is 37.0°C (98.6°F), pulse is 70/min, respirations are 15/min, and blood pressure is 118/74 mmHg. Cardiopulmonary examination is unremarkable. Neurological exam shows a bilateral hand tremor at rest that disappears during finger-to-nose testing. Mental status exam shows an anxious adult with appropriate grooming and hygiene. Which of the following is the most likely diagnosis?
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