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Autism spectrum disorder — RACP Paediatrics MCQ

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ModerateNeurology and neurodevelopmentAutism spectrum disorderRACP Paediatrics

A 2-year-old has limited eye contact, no pointing to share interest, delayed language and repetitive lining up of toys. Audiology is normal and there is no loss of skills. What is the most appropriate investigation?

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Correct answer: A — Multidisciplinary developmental assessment for autism and global function

Social-communication differences with restricted repetitive behaviours warrant a multidisciplinary developmental assessment, including cognition, language, adaptive skills and autism evaluation. Normal hearing excludes one important mimic but does not remove the need for developmental assessment. The pearl is that early intervention should proceed according to functional needs while diagnostic work-up is completed.

Reference: RACP General Paediatrics curriculum; National autism assessment guideline resources