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Psychiatry · Trauma disorders: acute stress disorder
Sample itemNine days after a serious road traffic collision, a patient has intrusive memories, avoidance, hypervigilance, and dissociative symptoms. Which diagnosis best fits if symptoms are clinically significant?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Acute stress disorder
Acute stress disorder is diagnosed after trauma when symptoms last from three days to one month. PTSD requires persistence beyond one month.
Option by option
A. Acute stress disorder (correct)
Correct. The timing after trauma falls in the acute stress disorder window.
B. Panic disorder
Panic disorder requires recurrent unexpected attacks rather than trauma-linked symptom clusters.
C. Adjustment disorder
Adjustment disorder is not the preferred diagnosis when a trauma-specific syndrome is present.
D. Post-traumatic stress disorder
PTSD requires symptoms to continue for more than one month.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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