Jacob (4;4 Years) Cannot Elevate His the Tongue Towards His

Multiple Choice

Jacob (4;4 years) cannot elevate his the tongue towards his nose. He has no other difficulties with tongue movement. This means that he:

A) has tongue-tie and needs to have it surgically released.
B) would be unable to articulate alveolar consonants /t, d, n/.
C) does not necessarily have tongue-tie and should still be able to articulate alveolar consonants /t, d, n/.
D) has childhood dysarthria.