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Review Question - QID 106888

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QID 106888 (Type "106888" in App Search)
An 11-year-old boy is brought to the doctor by his father because his father is worried about the boy's performance in school and his lack of a social life. His father is also worried about the ongoing bullying his son is experiencing due to swearing outbursts the boy has exhibited for several years. During these outbursts, the boy contorts his face, blinks repeatedly, and grunts. His father is worried that the bullying will worsen and would like to see if there is a medication that can help his son. Which of the following medications is most likely to be beneficial?

Valproic acid

0%

0/25

Risperidone

72%

18/25

Lamotrigine

8%

2/25

Clonazepam

12%

3/25

Lithium

0%

0/25

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The most likely diagnosis for the patient’s condition is Tourette disorder. This condition is often treated with a neuroleptic drug, such as risperidone.

Tourette disorder is a neurological disorder resulting in chronic tics, both vocal and motor. The tics are often classified as either simple or complex – simple being small, involuntary movements like repetitive eye blinking or grunting, while complex tics involve multiple muscle groups, like grimacing while shrugging.

Incorrect Answers
Answer 1: Valproic is often used in the treatment of bipolar disorder.
Answer 3: Lamotrigine is often used for epilepsy, seizures and in the treatment of bipolar disorder. It is not used in the treatment of Tourette disorder.
Answer 4: Clonazepam may be used for some seizure disorders and panic disorder. It does not play a role in the treatment of Tourette disorder.
Answer 5: Lithium is used in bipolar disorder as a mood stabilizer – it is not used in Tourette disorder.

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