Final answer:
Sam Gregory's condition, which includes a hyperextended neck and loud behavior, requires medical evaluation to determine severity and plan appropriate treatment.
Step-by-step explanation:
The behavior described for Sam Gregory, with a hyperextended neck and increasingly loud/boisterous actions, would likely require an assessment to determine the appropriate level of severity. A medical professional could evaluate Sam's condition to understand the cause and severity of the hyperextension and related behaviors. The correct course of action is to evaluate, explore results, and plan a suitable intervention based on the findings. This sensible approach is crucial when dealing with potential health-related issues that manifest in both physical and behavioral symptoms.