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A 23-year-old graduate student presents to her primary care provider complaining of severe abdominal cramps, bloating, and difficulty concentrating. She reports concern about her studies suffering over the last few days due to these symptoms. The patient recalls that these same troublesome symptoms occurred last month around the same time but resolved on their own after her period started. Her boyfriend accompanies the patient. When she steps out to use the restroom, the boyfriend confides in the clinician, “She has been so mean over the last few days. It’s like anything I do or say sets her off.” He does not recall any other changes in her behavior. Which of the following is the first-line treatment for these symptoms? A Fluoxetine B Lithium C Maprotiline D Methylphenidate E Spironolactone
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HEALTH SCIENCE
NURSING

 
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