No Dysmorphic Features in Pediatrics — Case | General Pediatrics | SMLE Q#17346

SMLE Question #17346

Pediatrics General Pediatrics

Objective: OBJ-377

Last updated: February 2026
A 5-month-old boy is evaluated for delayed motor milestones. He was born at term after an uncomplicated delivery and breastfeeds well. Parents report poor head control and inability to roll over. Social smile and visual tracking are appropriate. He is alert with no dysmorphic features. Examination shows generalized hypotonia with a floppy posture; deep tendon reflexes are mildly decreased but present, and antigravity movements are possible in all limbs. What is the most likely diagnosis?

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