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Autism spectrum disorder — DCH MCQ

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ModerateDevelopmentAutism spectrum disorderDCH

A 3-year-old boy has limited eye contact, no pretend play, and becomes distressed by changes in routine. Nursery reports he plays beside rather than with peers; hearing assessment is normal. What is the most appropriate management?

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Correct answer: E — Refer for autism spectrum assessment

Social communication differences, restricted routines and impaired pretend play suggest autism spectrum disorder, warranting referral for specialist assessment. Reassurance based on sex stereotypes risks delaying support. The pearl is that nursery observations across settings can be highly informative.

Reference: NICE CG128