A 9-Year-Old Boy Is Brought to the Office by His

question 341

Multiple Choice

A 9-year-old boy is brought to the office by his mother due to behavioral changes.  The mother says, "He has always been an active child and can be loud at times; however, over the past few months, he has been more irritable.  He usually gets along well with his classmates but got into a fight with one last week."  The mother also notes that the patient gets upset in the mornings because he does not want to go to school.  Since starting third grade 6 months ago, his academic performance has declined, and he has been making below average grades.  A progress report from his teacher states that he does not participate in group activities and is unable to complete class assignments on time.  When interviewed privately, the patient reports that his classmates call him a baby because he uses his fingers to count and reads slowly.  He has no significant medical history.  Vital signs are within normal limits; height and weight curves are tracking consistently.  Physical examination shows no abnormalities.  Which of the following is the most likely diagnosis in this patient?

• A)Attention deficit hyperactivity disorder
• B)Disruptive mood dysregulation disorder
• C)Oppositional defiant disorder
• D)Social anxiety disorder
• E)Specific learning disorder

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Definitions:

COGS

The direct costs that are attributable to the production of the goods sold in a company, including both materials and labor costs.

Cash Cycle

The period of time it takes for a company to turn its inventory into cash flows from sales, encompassing the time frames of purchasing inventory, selling products, and collecting revenue from customers.

Accounts Receivable

Funds that customers owe to a company for products or services received but not yet compensated for.

Accounts Payable

Money owed by a company to its creditors for goods and services received but not yet paid for.