Limited Speech in Pediatrics — 3yo Child | General Pediatrics | SMLE Q#16129
SMLE Question #16129
Pediatrics
General Pediatrics
Objective: OBJ-377
Last updated: February 2026
A 3-year-old boy is brought for a developmental screening visit. He has bilateral upslanting palpebral fissures, epicanthal folds, a flat nasal bridge, a single transverse palmar crease on the right hand, and mild hypotonia. He has global developmental delay with limited speech and an unsteady gait. There are no major limb deformities, overlapping fingers, or rocker-bottom feet. What is the most likely diagnosis?
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