Child health · UKMLA & AKT
Speech and language delay
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
Key high-yield points
- Knowing normal milestones is the core exam skill - use them to identify what is truly delayed or abnormal.
Hand preference before 18 months is a red flag for neuromuscular pathology - most likely cerebral palsy. A strong preference for one hand suggests the other limb may have impaired motor function. Normal hand dominance is not established until 18-24 months.
Casting bricks is normal until 18 months - only flag if it persists beyond this. Independent walking should develop by 9-18 months, with 18 months being the threshold for concern.
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