Psychiatry Quiz #16: Trauma and Stress-Related Disorders

1. A 25-year-old woman presents to the clinic with complaints of recurrent nightmares, flashbacks, and severe anxiety related to a car accident she was involved in 3 months ago. She avoids driving and becomes extremely agitated when she hears car horns or sirens. She states that she often feels detached from her surroundings and has difficulty sleeping. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 30-year-old male veteran presents to the clinic with complaints of insomnia, irritability, difficulty concentrating, and being easily startled for the past two weeks following his return from active duty. He witnessed the death of several comrades during a combat mission. He feels constantly on edge and has been avoiding talking about his experiences or watching news reports about the military. Which of the following is the most likely diagnosis? 

Question 2 of 5

3. A 22-year-old woman comes to the clinic with complaints of feeling hopeless and having difficulty sleeping and concentrating. She recently broke up with her partner of 3 years and was dismissed from her job. She does not report any history of trauma. Which of the following is the most likely diagnosis? 

Question 3 of 5

4. A 40-year-old man who survived a natural disaster 6 months ago reports persistent avoidance of related stimuli, negative alterations in cognition and mood associated with the traumatic event, and marked alterations in arousal and reactivity. He feels detached from family and friends and has lost interest in activities he used to enjoy. He also experiences intense guilt over surviving while others did not. Which of the following is the most likely diagnosis? 

Question 4 of 5

5. A 19-year-old college student is brought to the emergency department by friends after he was mugged at gunpoint earlier in the evening. He is visibly shaken, experiencing palpitations, and repeatedly states he thought he was going to die. He is having trouble remembering details of the event. Which of the following is the most appropriate immediate management? 

Question 5 of 5


 

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