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General Medicine General 8ad6f05f

A first-grade teacher is concerned about a 6- year old girl in her class who has not spoken a single word since school staed. The little girl paicipate appropriately in the class activities and uses gestures and drawings and nods and shakes her head to communicate. The parents repo that the little girl talks only in the home and only in the presence of her closest relatives. Which of the following is the most appropriate diagnosis?

A
Autism
B
Expressive language disorder
C
School phobia
D
Selective mutism

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