Developmental milestones (childhood) Quiz: Ace Your Exams

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A 3-year-old boy presents to the pediatrician for a well child visit. Parents report that he is doing well in preschool, but they have concerns regarding his language development. He has over 200 words but only speaks in two-word phrases. There are no concerns regarding his receptive language. He was born at 36 weeks, weighing 5lbs 8oz. He has no significant past medical history. There is no family history of developmental delay. Today, he is 46th percentile for weight and 60th percentile for height. Vitals are appropriate for age. On physical examination, he is well-appearing. Tympanic membranes are pearly gray with normal light reflex and no loss of landmarks. Oropharyngeal examination is normal with no apparent ankyloglossia. Which of the following is the best next step in his evaluation?

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Hearing evaluation

Age-specific developmental screening tool

Modified Checklist for Autism in Toddlers - Revised (MCHAT-R)

Re-evaluation at 4 year well child visit

Referral to Developmental Pediatrician