Which of the following disorders is characterized by tics in which extensive and varied bodily movements are accompanied by vocalization like barking or shouting obscene words?

Appeared in: PGICH Noida NO-2025

Explanation

Gilles de la Tourette syndrome is a neurodevelopmental disorder defined by multiple motor tics and at least one vocal tic.
The tics can be simple (e.g., eye blinking, throat clearing) or complex (e.g., jumping, repeating words).
The question's description of extensive bodily movements (complex motor tics) and vocalizations like barking (simple vocal tic) and shouting obscenities (coprolalia, a complex vocal tic) are classic features of this syndrome.

Why Other Options Were Wrong

Option A: This syndrome involves albinism and neurological problems but is not characterized by the specific combination of motor and vocal tics described.
Option C: This is a metabolic disorder causing physical malformations and intellectual disability, not a tic disorder.
Option D: This syndrome's key features are hyperuricemia, neurological dysfunction, and severe self-injurious behaviors, which are different from tics.

Related Visual

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of tic disorders based on clinical presentation as background academic context rather than a clinical decision trigger.
Nurses play a crucial role in supporting patients with Tourette syndrome and their families through education, behavioral therapy support, and medication management.
It is important for nurses to recognize that tics are involuntary and to create a supportive, non-judgmental environment for the patient.
Co-occurring conditions like ADHD and OCD are common in Tourette syndrome, and nursing assessment should include screening for these to ensure comprehensive care.

How to Approach the Question

First, carefully read the question and identify the key clinical signs described: extensive and varied bodily movements (motor tics) and specific vocalizations like barking and shouting obscene words (vocal tics).
The term 'tics' is a major clue. The combination of both motor and vocal tics is a defining feature of a specific disorder.
Evaluate each option against these key features.
Recall or look up the primary characteristics of each syndrome listed.
Eliminate options that do not match the core symptoms. For example, syndromes primarily defined by metabolic issues, albinism, or self-mutilation without the specific tic combination can be ruled out.
Select the option that perfectly aligns with the description of multiple motor and vocal tics, including coprolalia (obscene words).

Concept Tested & Keywords

Concept Tested: Identification of tic disorders based on clinical presentation.
Stem keywords: disorders, tics, bodily movements, vocalization, barking, shouting obscene words
Lead-in keywords: Which of the following
Negative lead-in flag: false

Question ID

QD6HoB564INt6iq-CtsWB9

Reference Book

E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 12259-12261

E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 601-603

E6 Medicine Harrison 22e Part 2 p. 1419-1421

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