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Paeds Casesgrowth-development-and-behaviour

Paeds Cases · growth-development-and-behaviour

Autism spectrum disorder — OSCE

OSCE counselling station after suspected autism spectrum disorder assessment.

osce communication and clinical reasoning station1 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCE
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Study tools

Target exams

MRCPCH ClinicalRACP DCE
Prompt
You have 8 minutes with parents of a 3-year-old after clinic assessment for social-communication concerns. Explain findings, next steps, supports and answer questions about causes and medication.

Station brief (candidate)

  • Explain that ASD is a clinical neurodevelopmental diagnosis based on social-communication and restricted/repetitive patterns across settings.
  • State that supports can start while formal assessment completes.
  • Outline audiology, multidisciplinary assessment and early intervention.
  • Answer vaccine and “blood test for autism” questions accurately.
  • Explain that medicines do not treat core social deficits; medicines may later target severe irritability or comorbidities only after formulation.
  • Use plain language, strengths-based framing and teach-back. [1] [2] [5]
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References6ShowHide
  1. [1]Hyman SL Identification, Evaluation, and Management of Children With Autism Spectrum Disorder Pediatrics, 2020.PMID 31843864
  2. [2]Dawson G Randomized, controlled trial of an intervention for toddlers with autism: the Early Start Denver Model Pediatrics, 2010.PMID 19948568
  3. [3]Green J Parent-mediated communication-focused treatment in children with autism (PACT): a randomised controlled trial Lancet, 2010.PMID 20494434
  4. [4]McCracken JT Risperidone in children with autism and serious behavioral problems N Engl J Med, 2002.PMID 12151468
  5. [5]Lord C The Lancet Commission on the future of care and clinical research in autism Lancet, 2022.PMID 34883054
  6. [6]Cassidy S Understanding and prevention of suicide in autism Lancet Psychiatry, 2017.PMID 28551299
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