The mother of a 7 and ½ year-old boy describes a 6-month history of excessive eye blinking and intermittent chirping. this mother now reports that she has recently noticed her son has developed grunting sounds that started when he began school this term. what is the most likely diagnosis to consider?
a) tourette’s disorder.
b) provisional tic disorder.
c) transient tic disorder, recurrent.
d) persistent.

b. Provisional tic disorder

Explanation:

Provisional tic disorder -

It is a type of motor disorder , where there is abnormality and repetition in the vocal cord and there is not proper rhythm.

This disorder is usually seen in children , just before reaching the stage of puberty in the age group of 4 to 6 and is very extreme in the age group 10 to 12.

This disorder is more likely to occur in boys than in girls.

Hence , from the given scenario of the question,

The correct option is b. Provisional tic disorder .

first of all, it's important to say that the book we shall not be moved, written by joan dash, is about the first strike of women in the united states in the year 1909. the best historical detail to clarify the reader's undertanding is the phrase "general strike". this strike involved women working at a garment factory who decided to protest   long working hours, low wages and brutal conditions. this strike became known as "the new york shirtwaist strike" or "the uprising of the 20,000". the strike mostly involved jewish women who did not speak english or who had a basic knowledge of the english language. finally, the strike went on from november 1909 until february 1910.