Disruptive, impulse control, and conduct disorders Quiz: Ace Your Exams

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A 14-year-old boy is brought to his physician’s office by his parents for evaluation of behavioral problems. The patient has had multiple issues with police over the past year, including one incident involving robbing a convenience store with friends. He later described the incident as a “prank.” He also has a history of “experimenting” with squirrels in his backyard, which involved developing elaborate methods to injure them. Although the patient’s grades are good, he has been disciplined twice over the past month for blurting out inappropriate words during class. Temperature is 37.7°C (99.9°F), blood pressure is 109/75 mmHg, and pulse is 64/min. Physical examination is unremarkable. Which of the following is the most likely diagnosis?  

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