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Autism spectrum disorder — MRCPCH FOP MCQ

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ModerateNeurology and neurodevelopmentAutism spectrum disorderMRCPCH FOP

A 3-year-old boy has few words, limited eye contact and repetitive lining up of toys. He does not point to share interest and becomes distressed by changes in routine. What is the most appropriate management?

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Correct answer: B — Refer for multidisciplinary neurodevelopmental assessment

Social communication difficulties with restricted repetitive behaviours should prompt referral for neurodevelopmental assessment. Hearing assessment is important but should not replace a broader evaluation. Methylphenidate is used for ADHD and is not a diagnostic or first-line response to suspected autism. The pearl is that lack of shared attention is a key developmental concern.

Reference: NICE CG128 Autism spectrum disorder in under 19s