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Speech Intelligibility Milestones — RACP Paediatrics MCQ

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ModerateNeurology & DevelopmentSpeech Intelligibility MilestonesRACP Paediatrics

A 4-year-old is referred with concerns about speech. He uses 2-3 word phrases, is intelligible to family 75% of the time but only 50% to strangers. Is this age-appropriate?

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Correct answer: B — Borderline – he should be intelligible to strangers >75% by age 4

By 4 years, speech should be intelligible to strangers >75% of the time. 2-3 word phrases are below expected (4-5+ word sentences). Referral for speech pathology assessment is warranted.

Reference: RACP – 2024 – Developmental Assessment