Tourette syndrome Quiz: Ace Your Exams
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A 17-year-old boy is brought to the clinic due to academic decline and bizarre behavior for the past 6 months. He used to be a straight-A student, but during the past 2 years, he has been failing exams and repeatedly getting in trouble with teachers. The teachers report that he speaks out of turn, interrupts other students, and makes inappropriate gestures. Vitals are within normal limits. On physical examination, the patient is constantly blinking and clears his throat frequently. Occasionally, the patient points the middle finger at the doctor, and doing so appears to cause the patient distress. The parents are embarrassed and concerned about their son's demeanor. Which of the following best describes this patient's behavior?
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