352 to go

25 y/o G0 female presents to clinic with intermittent palpitations, diaphoresis, stomach pain, SOB, dizziness, and feeling of impending doom. She has had 1 similar episode 1 year prior. BP registers 180/70 and 112/57 on two separate times during the visit. Patient appears anxious and continuously looks around the room nervously. PE is unremarkable. What is the best next step in management?

A. 24 hour urine metanephrines
B. TSH, free T4 levels
C. Prescribe Bupropion and schedule a f/u visit in 2 weeks
D.Frequent follow ups
E. no further management

352 questions to go (8 blocks of 44 questions each I believe) and it'll all be over! Then for an adventure, destination still unknown.

Good luck to all those that have yet to take Step! I'll be done at about 6 pm tomorrow. Mix of can't wait and OMGI'MNOTREADYHOLYHELL!!!!

Ready or not! T-17 hours.