Q:

A mother presents her 6 month old son who is vocalizing. She has noticed that he doesn’t respond to loud noises. His motor milestones are normal. What is the best management strategy?

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A mother presents her 6 month old son who is vocalizing. She has noticed that he doesn’t respond to loud noises. His motor milestones are normal. What is the best management strategy?


  1. Arrange hearing test
  2. Assess development milestones
  3. Reassure
  4. Refer to speech therapist
  5. MRI brain

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The key is A. Arrange hearing test. [Normal motor milestones indicate normal development but unable to respond to loud noise at 6 months may indicate deafness].

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