08-15-2010, 06:19 PM
8-year-old boy presents to your office with a history of difficulty keeping quiet in school. His teacher reports that he clears his throat and coughs several times an hour. He also shrugs his shoulders and twists his neck frequently, especially when he is bored. His mother has noticed this for about 2 years but believes it is getting worse. He is a good student and does not have discipline problems. He has a normal physical and neurological exam. You are considering the diagnosis of Tourette syndrome. Which of the following statements is CORRECT?
A: Tourette syndrome usually begins at puberty and is rare in elementary school-age children.
B: The diagnosis of Tourette syndrome requires coprolalia (vocalizations of obscenities or vulgarities).
C: The diagnosis of Tourette syndrome requires both motor tics (movements) and phonic tics (vocalizations).
D: Tourette syndrome is a lifelong disease and tends to worsen over time.
E: Tourette syndrome is more common in girls than in boys.
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Which of the following statements is TRUE regarding treatment of Tourette syndrome?
A: Benzodiazepines are useful in decreasing vocal tics.
B: Stimulant medications such as used in attention deficit hyperactivity disorder have been shown to decrease coprolalia.
C: Treatment with medication speeds eventual resolution of symptoms.
D: Treatment of associated disorders, such as obsessive compulsive disorder, can improve functioning.
E: It is recommended that patients with Tourette syndrome be started on medication within 6 months of diagnosis to achieve maximum benefit.
A: Tourette syndrome usually begins at puberty and is rare in elementary school-age children.
B: The diagnosis of Tourette syndrome requires coprolalia (vocalizations of obscenities or vulgarities).
C: The diagnosis of Tourette syndrome requires both motor tics (movements) and phonic tics (vocalizations).
D: Tourette syndrome is a lifelong disease and tends to worsen over time.
E: Tourette syndrome is more common in girls than in boys.
Report Abuse
Which of the following statements is TRUE regarding treatment of Tourette syndrome?
A: Benzodiazepines are useful in decreasing vocal tics.
B: Stimulant medications such as used in attention deficit hyperactivity disorder have been shown to decrease coprolalia.
C: Treatment with medication speeds eventual resolution of symptoms.
D: Treatment of associated disorders, such as obsessive compulsive disorder, can improve functioning.
E: It is recommended that patients with Tourette syndrome be started on medication within 6 months of diagnosis to achieve maximum benefit.