Tourette syndrome Quiz: Ace Your Exams
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An 11-year-old boy is brought to the clinic by his parents due to behavior problems and declining academic performance. He used to do well in school but during the past year and a half, he started receiving Cs and Ds in his classes and having social problems. The patient’s teachers report he disrupts classmates, cannot sit still, and makes “funny noises.” The parents mention that he used to have a lot of friends but now constantly gets into fights because his classmates make fun of his behavior. Vitals are within normal limits. On physical examination, the child blinks constantly, shrugs the shoulders, and occasionally grunts. When the child is asked to stop these movements, he can suppress them for a few moments, then recommences. The rest of the physical exam is within normal limits. Which of the following is the most likely diagnosis?
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