🏥 USMLE Exam Prep

A 14-month-old child is brought for a well-child visit. The parents express concern because the child still isn't walking independently, doesn't say any words, and doesn't respond to his name consistently. He makes limited eye contact. Physical exam is unremarkable. Which of the following is the most appropriate next step?

A Reassure parents that children develop at different rates
B Refer for formal audiologic evaluation
C Initiate a trial of physical therapy
D Order a head CT scan

✓ Correct Answer: Option B

Delay in language, lack of response to name, and limited eye contact are red flags for hearing impairment and potential autism spectrum disorder. A formal audiologic evaluation is crucial to rule out a correctable cause (hearing loss) before further developmental assessments.

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