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Developmental screening — USMLE Step 3 MCQ

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ModeratePediatrics (well-child, chronic management)Developmental screeningUSMLE Step 3

A 19-month-old girl comes for a well-child visit. Growth is normal. She uses two words, does not point to show interest, and does not respond consistently to her name. Which of the following is the most appropriate screening recommendation?

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

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Correct answer: C — Perform autism-specific screening and developmental assessment

Autism-specific screening is recommended at 18 and 24 months, and concerning social communication signs warrant further evaluation.

Reference: American Academy of Pediatrics clinical practice guidance and Bright Futures preventive care