04-15-2007, 04:09 PM
You are seeing a 30-month-old boy for well-child care. His parents are anxious about ensuring that his development is appropriate as he is their first and only child. He passed a hearing screen at birth and has been generally healthy besides a few colds. He has never been hospitalized or had any serious illness. He is able to run well, but has difficulty going down stairs. He uses more words than the parents are able to count and can use them in short, 2-word sentence fragments. It is difficult for you to understand a large part of what he is saying. He can draw a circle only if you show him how to do it. The most appropriate next step is to
A. perform a brainstem auditory evoked potential hearing screen
B. perform a screening exam for autism
C. reassure the parents that his development appears normal and continue to follow up at well-child visits
D. refer to a developmental specialist for comprehensive evaluation
E. refer to speech-language therapy for evaluation of his language function
A. perform a brainstem auditory evoked potential hearing screen
B. perform a screening exam for autism
C. reassure the parents that his development appears normal and continue to follow up at well-child visits
D. refer to a developmental specialist for comprehensive evaluation
E. refer to speech-language therapy for evaluation of his language function