Pshychiatry question
revision - 01-22-09 14:37

A 14 years old boy is brought to the physician by his parents because he has been increasingly irritable, disrespectful, and uncooperative during the past 4 years. He refuse to do any household chores and does not obey curfew. He may be expelled from school because he is rude and threatening to teachers and has been cutting classes. He is tutored for reading but earns C's and D's in his classes. He has been suspended three times during the past year for talking back to his teachers. He repeated first grade due to poor academic readiness. He used to have trouble with homework but now he does not complete any homework.

During examination the patient is minimally cooperative and frequently rolls his eyes at questions.

Urine toxicology screening is positive for nicotine.

Which of the following is most likely explanation for this patient's behavior?

A. Attention deficit/hyperactivity disorder
B. Borderline cognitive functioning
C. Conduct disorder
D. Oppositional defiant disorder
E. Reading disorder
F. Normal adolescent behaviour