Peers in Pediatrics — Case | Growth & Development | SMLE Q#17549

SMLE Question #17549

Pediatrics Growth & Development

Objective: OBJ-DEV-001

Last updated: February 2026
A 24-month-old boy is brought to a primary care clinic for developmental concerns. He does not consistently respond to his name, makes limited eye contact, prefers solitary play, and has delayed speech compared with peers. His parents report repetitive play, including lining up toys for prolonged periods. He was born at term with no complications and has no history of recurrent otitis media. On examination, he appears healthy and does not engage in reciprocal interaction with the clinician. What is the most appropriate next step?

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