Q8. A 4 year-old boy is brought to the physician by his mother because he does not listen to her. The mother also reports that her son cannot concentrate on any tasks lasting longer than just a few...


Q8. A 4 year-old boy is brought to<br>the physician by his mother because<br>he does not listen to her. The mother<br>also reports that her son cannot<br>concentrate on any tasks lasting longer<br>than just a few minutes. Teachers at<br>his preschool report that the patient<br>is more active compared to other<br>pre-schoolers. He was born at term<br>via vaginal delivery and has been<br>healthy except for 3 episodes of acute<br>otitis media at the age of 2 years. He<br>has met all developmental milestones.<br>His father has Graves' disease. He<br>appears healthy and well nourished.<br>Examination shows that the patient<br>turns his head briefly towards the<br>examiner and sometimes makes eye<br>contact when spoken to but does<br>not respond to direct questions and<br>continues to play with objects in the<br>physician's office. He interrupts his<br>mother and the physician frequently<br>during the exam to express his wish<br>to go outside and eat a snack. The<br>remainder of the examination is normal.<br>Which of the following is the most<br>appropriate next step in management?<br>A. Behaviour Therapy<br>B. Hearing Aid<br>C. Methimazole<br>

Extracted text: Q8. A 4 year-old boy is brought to the physician by his mother because he does not listen to her. The mother also reports that her son cannot concentrate on any tasks lasting longer than just a few minutes. Teachers at his preschool report that the patient is more active compared to other pre-schoolers. He was born at term via vaginal delivery and has been healthy except for 3 episodes of acute otitis media at the age of 2 years. He has met all developmental milestones. His father has Graves' disease. He appears healthy and well nourished. Examination shows that the patient turns his head briefly towards the examiner and sometimes makes eye contact when spoken to but does not respond to direct questions and continues to play with objects in the physician's office. He interrupts his mother and the physician frequently during the exam to express his wish to go outside and eat a snack. The remainder of the examination is normal. Which of the following is the most appropriate next step in management? A. Behaviour Therapy B. Hearing Aid C. Methimazole

Jun 09, 2022
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