09-21-2010, 03:29 PM
12. A 20-month-old boy is brought to the physician by his mother because she is
concerned about his language development. His mother says, "I don't
understand. His 4-year-old sister had no problems with speech when she
was his age." He is able to make some sounds, including "b" and "p"
spontaneously, but he seems slow to imitate words the parents say. He is
active, able to run a few steps, and can recognize shapes and do simple
puzzles. He is at the 60th percentile for length and weight, and 75th
percentile for head circumference. He is friendly and cooperative and has
good eye contact. Physical examination shows no abnormalities. Which of
the following is the most appropriate initial statement by the physician?
A) "I recommend that he undergo a hearing screening as soon as
possible."
B) "I wouldn't worry. Boys often speak later than girls do."
C) "I'm going to schedule him for an MRI of the brain to exclude
hydrocephalus."
D) "You should give him things only if he attempts to ask for them."
E) "You should have him evaluated by a child psychologist for possible
autistic disorder."
concerned about his language development. His mother says, "I don't
understand. His 4-year-old sister had no problems with speech when she
was his age." He is able to make some sounds, including "b" and "p"
spontaneously, but he seems slow to imitate words the parents say. He is
active, able to run a few steps, and can recognize shapes and do simple
puzzles. He is at the 60th percentile for length and weight, and 75th
percentile for head circumference. He is friendly and cooperative and has
good eye contact. Physical examination shows no abnormalities. Which of
the following is the most appropriate initial statement by the physician?
A) "I recommend that he undergo a hearing screening as soon as
possible."
B) "I wouldn't worry. Boys often speak later than girls do."
C) "I'm going to schedule him for an MRI of the brain to exclude
hydrocephalus."
D) "You should give him things only if he attempts to ask for them."
E) "You should have him evaluated by a child psychologist for possible
autistic disorder."