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post-traumatic stress disorder (PTSD)

Practice targeted AMC-style multiple-choice questions on post-traumatic stress disorder (PTSD).

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A 40-year-old patient with PTSD is started on sertraline but develops sexual dysfunction as a side effect. What is the next step in management?

A. Add bupropion.
B. Switch to paroxetine.
C. Continue sertraline and monitor.
D. Discontinue sertraline.
E. Reduce the dose of sertraline.
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A 35-year-old man with PTSD is experiencing severe nightmares despite being on an SSRI. What medication can be added to target this symptom?

A. Prazosin
B. Gabapentin
C. Quetiapine
D. Clonidine
E. Trazodone
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A 28-year-old patient with PTSD is undergoing therapy. The therapist uses exposure techniques to help the patient confront traumatic memories. What type of therapy is this?

A. Psychodynamic therapy
B. Cognitive behavioral therapy (CBT)
C. Supportive therapy
D. Dialectical behavior therapy (DBT)
E. Eye movement desensitization and reprocessing (EMDR)
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A 25-year-old woman with a history of sexual assault presents with intrusive thoughts, avoidance behaviors, and emotional numbness. She is diagnosed with PTSD. What is the first-line pharmacological treatment for this condition?

A. Selective serotonin reuptake inhibitors (SSRIs)
B. Benzodiazepines
C. Beta-blockers
D. Mood stabilizers
E. Antipsychotics
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A 30-year-old veteran presents with recurrent nightmares, flashbacks of combat, and hypervigilance. He avoids crowded places and has difficulty sleeping. His symptoms have persisted for over 6 months and are affecting his daily functioning. What is the most likely diagnosis?

A. Major depressive disorder
B. Post-traumatic stress disorder (PTSD)
C. Generalized anxiety disorder
D. Schizophrenia
E. Bipolar disorder
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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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