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insomnia

Practice targeted AMC-style multiple-choice questions on insomnia.

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A lady stopped driving after being involved in an accident two years ago. She frequently experiences nightmares about the accident and has difficulty falling asleep. Her sister died a few months ago. What is the most likely diagnosis for her current symptoms?

A. Acute stress disorder
B. Grief reaction
C. Adjustment disorder
D. PTSD
E. Generalized Anxiety Disorder
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A man presents to his GP complaining of insomnia. He has a history of addiction but is currently doing well. His girlfriend recently left him, and he states he will kill her if he sees her again. What is the most appropriate initial management step?

A. Refer him for anger management.
B. Advise him that his feelings are normal and will improve with time.
C. Arrange for immediate psychiatric assessment.
D. Inform the police.
E. Prescribe diazepam for a short duration.
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