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Speech delay — USMLE Step 3 MCQ

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ModeratePediatrics (well-child, chronic management)Speech delayUSMLE Step 3

A 2-year-old boy says two single words and does not combine words. He follows one-step commands and has normal motor milestones. Parents think he hears well. Physical examination is normal. Which of the following is the most appropriate next step in management?

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Correct answer: CRefer for audiology and early intervention evaluation

Speech delay requires hearing assessment and early intervention rather than watchful waiting.

Reference: AAP Developmental Surveillance and Screening Guidance