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Developmental delay — ABFM Board MCQ

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EasyPediatrics and adolescent medicineDevelopmental delayABFM Board

At a 2-year well-child visit, a boy uses no two-word phrases and follows few simple commands. Hearing screen has not been performed. Growth is normal. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Arrange audiology evaluation and early intervention referral

Speech delay at age 2 warrants hearing assessment and early intervention rather than reassurance alone.

Reference: AAP Clinical Practice Guidelines: https://www.aap.org/en/quality-improvement/clinical-practice-guidelines/