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Autism spectrum disorder — MCCQE Part 1 MCQ

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EasyDevelopmental DelayAutism spectrum disorderMCCQE Part 1

A 2-year-old boy does not use two-word phrases, rarely responds to his name, avoids eye contact and has repetitive hand flapping. Hearing screen is normal. Which of the following is the most appropriate next step?

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Correct answer: B — Refer for developmental/autism assessment and early intervention services

Social communication delay with restricted repetitive behaviours suggests autism spectrum disorder and warrants early assessment and intervention. Reassurance based solely on sex delays support. Medication may help selected comorbid irritability but is not first-line treatment for core autism features.

Reference: Canadian Paediatric Society autism spectrum disorder guidance