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Paediatric obesity — MCCQE Part 1 MCQ

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ModerateObesityPaediatric obesityMCCQE Part 1

11-year-old boy presents with weight gain. BMI is above the 97th percentile and BP is elevated. Which of the following is the most appropriate next step?

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Correct answer: D — Assess comorbidities and family context and offer family-based behavioural intervention

Assess comorbidities and family context and offer family-based behavioural intervention is best because paediatric obesity management is family-centred and comorbidity-focused. Provide only reassurance without clear follow-up or safety-netting is suboptimal because children can deteriorate quickly and follow-up must be explicit; Use adult dosing or adult pathways without paediatric adjustment is suboptimal because children require age- and weight-appropriate care; Delay assessment until the next routine visit is suboptimal because developmental, infectious and neonatal red flags require timely assessment; Give antibiotics, steroids or investigations routinely despite no indication is suboptimal because over-treatment can cause harm when supportive or targeted care is indicated. Stigma-free language improves engagement.

Reference: Canadian Paediatric Society obesity guidance