Developmental regression — formative SAQs

SAQ 1 (10 marks)

A 22-month-old previously used several words and pointed to request. For 3 months he has been silent, with reduced social engagement. He walks well and is afebrile. ^{[1] [7]}

1. Define developmental regression and distinguish it from delay. (3) ^[1]
2. Outline your bedside assessment priorities. (4) ^{[1] [3]}
3. List immediate actions and referrals while awaiting specialist review. (3) ^{[1] [14] [17]}

Model answer

Regression is loss of a previously acquired skill; delay is failure to acquire skills on time. ^[1] Confirm a skill ledger with examples and tempo; examine neurology and head growth; assess seizures, hearing/vision access, safeguarding and caregiver concern. ^{[1] [3]} Arrange urgent hearing assessment and developmental/neurology pathways as indicated; start interim supports; name owners for results; safety-net further loss, seizures and reduced alertness. ^{[1] [14] [17]}