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Paediatric Lipid Screening — RACP Paediatrics MCQ

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ModerateCardiologyPaediatric Lipid ScreeningRACP Paediatrics

A 6-year-old child has a strong family history of familial hypercholesterolaemia. When should lipid screening be performed?

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Correct answer: DFrom age 2 years in children with a family history of premature cardiovascular disease or familial hypercholesterolaemia

Lipid screening from age 2 is recommended for children with a family history of premature CVD (<55 years in males, <65 in females) or known FH. FH affects 1 in 250 and causes markedly elevated LDL from birth. Early detection and statin therapy from age 8-10 improves long-term cardiovascular outcomes.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Familial Hypercholesterolaemia