A 16-Year-Old Boy with Mild Intellectual Disability Is Brought to the Office

question 60

Multiple Choice

A 16-year-old boy with mild intellectual disability is brought to the office to be evaluated for attention deficit-hyperactivity disorder.  The parents state that he has always been impulsive and inattentive and that teachers are concerned about his inattentiveness and poor grades.  Review of medical records shows a history of gross motor and speech delay for which he received physical and speech therapies during childhood.  On physical examination, the boy has a long and narrow face, a prominent mandible, and large testes.  There is hyperlaxity of his finger and thumb joints.  Which of the following is the most likely diagnosis in this patient?

• A)Down syndrome mosaicism
• B)Ehlers-Danlos syndrome
• C)Fragile X syndrome
• D)Klinefelter syndrome
• E)Marfan syndrome
• F)Prader-Willi syndrome

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Definitions:

Capital Budgeting

The process a business undertakes to evaluate and prioritize investments in long-term assets based on their potential to generate income.

Incremental Sales

Sales generated over and above a predefined baseline, often used to measure the effectiveness of sales promotions or new marketing strategies.

Operating Expenses

The costs associated with the normal day-to-day operations of a business, excluding costs directly related to producing goods.

Capital Budgeting

The method of assessing and choosing investments for the long term that align with the company's objective of maximizing wealth.