Paeds Vivas · growth-development-and-behaviour
Autism spectrum disorder — viva
Branching structured oral on autism spectrum disorder assessment and management.
On this page
Study tools
Target exams
RACP DCEMRCPCH Clinical
Prompt
You are the paediatric registrar in clinic. A 4-year-old is referred for possible autism after preschool raised social-communication concerns. Parents are distressed and ask what happens next.
Opening (must-hit)
“I will take a multi-setting developmental and social-communication history, observe interaction, arrange hearing assessment, start supports if concern is high, and complete a multidisciplinary diagnostic formulation using DSM-5 domains rather than waiting for a single lab test.” [1] [2]
References7ShowHide
- [1]Hyman SL Identification, Evaluation, and Management of Children With Autism Spectrum Disorder Pediatrics, 2020.PMID 31843864
- [2]Volkmar F Practice parameter for the assessment and treatment of children and adolescents with autism spectrum disorder J Am Acad Child Adolesc Psychiatry, 2014.PMID 24472258
- [3]McCracken JT Risperidone in children with autism and serious behavioral problems N Engl J Med, 2002.PMID 12151468
- [4]Owen R Aripiprazole in the treatment of irritability in children and adolescents with autistic disorder Pediatrics, 2009.PMID 19948625
- [5]Green J Parent-mediated communication-focused treatment in children with autism (PACT): a randomised controlled trial Lancet, 2010.PMID 20494434
- [6]King BH Lack of efficacy of citalopram in children with autism spectrum disorders and high levels of repetitive behavior: citalopram ineffective in children with autism Arch Gen Psychiatry, 2009.PMID 19487623
- [7]Cassidy S Understanding and prevention of suicide in autism Lancet Psychiatry, 2017.PMID 28551299