Childhood and early-onset psychological disorders Quiz: Ace Your Exams
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An 8-year-old boy is brought to the pediatrician’s office by his parents for evaluation of abnormal behavior. Over the past two months, the patient has refused to go to school almost every morning and has already missed several days. He is awake most nights worrying about going to school because he is concerned “bad things” will happen to his parents while he is gone. As the start of the school day approaches, he cries and screams that he “cannot go” and often experiences stomachaches. Past medical history is noncontributory. The patient lives at home with his single parent. Height and weight are at the 55th percentile. Temperature is 37.5°C (99.5°F), blood pressure is 103/66 mmHg, and pulse is 91/min. Physical examination is noncontributory. The physician asks to speak with the patient alone and during this time, the patient repeatedly asks where his parents are and if they are okay. Which of the following is the most likely diagnosis?
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