A 46-year-old man has stopped using buses and trains and avoids supermarkets and cinemas. In these places he becomes intensely anxious, fearing he will be unable to get out or get help, and he now only leaves home with his wife. He has no fear of social judgement and no low mood. Physical examination is normal. What is the most likely diagnosis?
A 63-year-old man has 2 months of tiredness and tingling in both feet. Haemoglobin is 88 g/L, MCV 118 fL, vitamin B12 is low and serum folate is also low. He has no heart failure symptoms and is haemodynamically stable. What is the most appropriate initial treatment?
Question 3MLA content map: Breast cancer
A 34-year-old woman has noticed a lump in her left breast for 3 weeks. It is not painful and has not changed with her period. There is a 2 cm firm, irregular lump in the upper outer quadrant, with no skin change or nipple discharge. Axillary examination is normal. She has no family history of breast cancer. What is the most appropriate management?