Review Question - QID 213201

A 9-year-old boy is brought to his physician for behavioral problems in school. The patient’s parents have noted that he often will “shake his hands” abnormally at times and does so on his own without provocation. This has persisted for the past year. Additionally, the child has made loud grunting sounds in school that disturb the other students and the teacher. The patient has a past medical history of asthma and atopic dermatitis, and his current medications include ibuprofen, albuterol, and topical corticosteroids during flares. On physical exam, you note an active young child who is playing with toys in the office. You observe the grunting sounds he makes at this office visit. The child seems mistrustful, does not reply to your questions, and does not look you in the eyes. Which of the following is most likely also found in this patient?