A 9-Year-Old Boy Is Brought to the Clinic Due to Poor

question 136

Multiple Choice

A 9-year-old boy is brought to the clinic due to poor academic performance.  The patient receives special needs education, including speech therapy.  His teachers have had difficulty keeping his attention in class, and his grades are declining.  Over the last few weeks, the patient has been falling asleep at his desk.  He watches television in the evenings until bedtime at 9 PM and wakes at 7 AM every day.  He feels tired most days and is occasionally sad because his parents recently divorced.  Blood pressure is 104/70 mm Hg and respirations are 26/min.  Weight and height are at the 50th and 20th percentile, respectively.  Tonsils are 1+.  Cardiopulmonary examination is normal.  The patient has difficulty opening his hands after squeezing the examiner's fingers.  There is full range of motion in the bilateral extremities.  Which of the following is the most likely explanation for this patient's clinical presentation?

• A)Absence seizures
• B)Adjustment disorder
• C)Cerebral palsy
• D)Myotonic dystrophy
• E)Narcolepsy
• F)Poor sleep hygiene

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Definitions:

Activity-Based Costing

An accounting method that assigns costs to products based on the activities they require, such as ordering materials or setting up machinery.

Product Costs

Encompasses all costs incurred to create a product, including direct materials, direct labor, and manufacturing overhead.

Direct Labor

The expenses related to the salaries of workers who are actively engaged in creating products or providing services.

Direct Materials

Raw materials that are directly involved in the production of a product and can be easily traced to it.