Developmental Concerns in Pediatrics — Case | Growth & Development | SMLE Q#18302

SMLE Question #18302

Pediatrics Growth & Development

Objective: OBJ-159

Last updated: February 2026
A 24-month-old boy is brought to a well-child visit for developmental concerns. He does not respond consistently when his name is called, has no spoken words, rarely makes eye contact, and prefers solitary play. His mother reports repetitive play behaviors, including lining up toys for long periods and becoming distressed when the arrangement is changed. He was born at term without complications and has no history of recurrent otitis media. On examination, he does not show reciprocal social smiling and does not point to share interest. What is the most appropriate next step in management?

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