Question

A 19-month-old boy is brought by his parents who are concerned that he does not respond to his name, avoids eye contact and is not yet using any single words. He lines up his toy cars repetitively. Hearing test is normal. What is the most appropriate next step?

Accepted Answer

Arrange referral for early developmental and autism spectrum disorder assessment and early intervention services.

Answer

Reassure the parents that this is normal variation and review at age 3 years.

Answer

Wait for the child to begin speaking before referring.

Answer

Start stimulant medication for presumed attention deficit disorder.

Answer

Recommend punishment for perceived misbehaviour.

Practice question

A 19-month-old boy is brought by his parents who are concerned that he does not respond to his name, avoids eye contact and is not yet using any single words. He lines up his toy cars repetitively. Hearing test is normal. What is the most appropriate next step?