skip to main content

Motor developmental delay — DCH MCQ

Instant feedback + full explanation. One question, done properly.

HardDevelopmentMotor developmental delayDCH

A 10-month-old boy is reviewed because he is not sitting without support. He was born at term, feeds well, but has persistent fisting and increased tone in both legs. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: B — Refer for paediatric developmental assessment

Delayed sitting with abnormal tone is a developmental red flag and needs paediatric developmental assessment rather than reassurance. Vitamin D deficiency may affect motor development, but persistent fisting and increased tone point towards a neurological motor disorder. The pearl is that delay plus abnormal examination is more concerning than isolated late variation.

Reference: RCPCH DCH syllabus; NICE CKS Developmental rheumatology/child development