FH – cascade screening — RACP Paediatrics MCQ

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EasyEndocrineFH – cascade screeningRACP Paediatrics

A 2-year-old's father has just been diagnosed with FH. The child has no symptoms. What should be offered to the child?

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Correct answer: D — Cascade screening of family

Cascade screening (lipid panel and/or genetic testing) of first-degree relatives of patients with FH is recommended from age 2 years. Early identification allows monitoring, lifestyle intervention, and timely initiation of statin therapy. Cascade screening is cost-effective and identifies ~50% of new FH cases.

Reference: RACP Paediatric Curriculum – Endocrine/Cardiology; Australian Therapeutic Guidelines – 2024