A 4-Year-Old Boy Is Brought to the Office Due to Unusual

question 596

Multiple Choice

A 4-year-old boy is brought to the office due to unusual behavior and concerns about intellectual development.  His parents state that "he doesn't speak a lot and doesn't seem to listen."  They describe him as a slow learner who uses only single words and frequently mumbles.  The patient is able to recognize a circle and the colors yellow and red, but he struggles to recognize other shapes and colors.  He scribbles but does not draw lines.  The patient crawled at 7 months and walked by 13 months.  When he briefly attended preschool, he refused to speak at all and preferred to play with toy cars by himself.  He was asked to leave the school due to daily temper tantrums in which he became hyperactive and banged his head with his hands when the teacher tried to redirect him.  The patient was born at term from an uncomplicated pregnancy and delivery, and his physical growth has been normal.  Weight and height are at the 50th percentile.  During the examination, the patient refuses to speak with the physician and sits in the corner lining up toy cars.  When his mother attempts to divert his attention from playing, he has a temper tantrum and begins to hit his head.  A brief physical examination is normal.  Which of the following is the most likely explanation for this child's behavior?

• A)Autism spectrum disorder
• B)Developmental language disorder
• C)Fragile X syndrome
• D)Global developmental delay
• E)Lesch-Nyhan syndrome
• F)Selective mutism
• G)Stereotypic movement disorder

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Definitions:

Required Rate of Return

The minimum annual percentage earned by an investment that will induce individuals or companies to put money into a particular security or project.

Dividend Yield

A financial ratio that indicates how much a company pays out in dividends each year relative to its share price.

Dividend Growth Rate

The annualized percentage rate of growth of a company's dividends paid to shareholders, indicating the company’s financial health and profitability.

Required Rate of Return

The required rate of return is the minimum annual percentage earned by an investment that will induce individuals or companies to put money into a particular security or project.