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Post-traumatic stress disorder — MCCQE Part 1 MCQ

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ModerateTrauma-related SymptomsPost-traumatic stress disorderMCCQE Part 1

A 37-year-old paramedic has 4 months of nightmares, intrusive memories and avoidance after attending a fatal crash involving a child. He is hypervigilant, startles easily and avoids driving near the crash site. What is the most likely diagnosis?

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Correct answer: CPost-traumatic stress disorder

Symptoms lasting more than one month after trauma, with intrusion, avoidance and hyperarousal, are consistent with PTSD. Acute stress disorder is limited to the first month after trauma. A specific phobia would not usually include nightmares and intrusive memories across trauma-related cues.

Reference: Canadian PTSD Guidelines