A 11-Year-Old Girl Is Brought to the Office Due to a 2-Day

question 344

Multiple Choice

A 11-year-old girl is brought to the office due to a 2-day history of rapid-onset, abnormal movements of the body.  The abnormal movements began bilaterally in the upper limbs, followed by the trunk and then lower extremities.  As a result, the patient has had difficulty performing daily activities such as bathing and eating.  However, she has no abnormal movements during sleep.  Vital signs are normal.  Examination shows a restless child with irregular, jerky movements involving the entire body and generalized hypotonia.  Mental status examination, cranial nerves, and sensations are normal.  Which of the following is the best next step in diagnosis?

• A)Antistreptolysin O titer
• B)Cerebrospinal fluid analysis
• C)Psychiatric assessment
• D)Serum calcium measurement
• E)Serum ferritin level
• F)Serum TSH measurement

Describe the physiological adaptations to prolonged substance use and the concept of neuroadaptation.

Understand the pharmacological interventions available for treating substance dependence and their mechanisms of action.

Identify key components and the effectiveness of peer-supported recovery programs such as Alcoholics Anonymous.

Describe evidence-based behavioral treatments for Substance Use Disorders.

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Definitions:

Strike

A work stoppage caused by the mass refusal of employees to work, usually in an attempt to gain better wages or working conditions.

Production Possibilities Frontier

A curve depicting all maximum output possibilities for two or more goods given a set of inputs (resources), assuming all inputs are used efficiently.

Economic Growth

Refers to the increase in the production of economic goods and services, from one period to another, often measured by GDP (Gross Domestic Product).

Technological Advance

The development of new technologies or the improvement of existing technologies to enhance productivity, efficiency, or quality in goods and services.