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Pediatrics · Development: cerebral palsy
Sample itemAn infant has persistent early hand preference before 12 months, increased tone in one side, and delayed gross motor milestones. What condition should be considered?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Cerebral palsy
Early hand preference can be a red flag for unilateral motor impairment, including hemiplegic cerebral palsy. Persistent abnormal tone and motor delay warrant developmental and neurologic assessment.
Option by option
A. Normal handedness alone
Clear early hand preference with abnormal tone is not dismissed as normal variation.
B. Simple speech delay
Speech delay alone does not explain unilateral hypertonia.
C. Acute meningitis
Meningitis is an acute infectious syndrome, not a chronic motor pattern.
D. Cerebral palsy (correct)
Correct. Asymmetry and hypertonia support concern for cerebral palsy.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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