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A 7-Year-Old Boy Is Brought to the Physician by His

Question 623

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A 7-year-old boy is brought to the physician by his mother because he does not "listen to her" anymore. She reports that since he started preschool 10 months ago, he has not been able to concentrate on any tasks lasting longer than a few minutes. He is more active compared to other brothers, frequently interrupts or bothers other siblings, and is very forgetful. 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. We thought he would grow out of it as he got older, but it seems to be getting worse."  Physical examination is unremarkable.  Which of the following would be most helpful in establishing the diagnosis?


A) Brain imaging
B) Hearing test
C) Quantitative EEG
D) Speech and language evaluation
E) Teacher evaluations
F) Toxicology screening

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