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Stimulant monitoring — ABFM Board MCQ

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ModerateMental healthStimulant monitoringABFM Board

A 15-year-old boy with ADHD is doing well on methylphenidate. At follow-up, appetite is reduced and weight percentile has fallen from 50th to 25th over 6 months. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Assess dose timing, nutrition, growth trend, and medication adjustment

Stimulants can affect appetite and growth; follow-up should assess benefit, adverse effects, vitals, and growth trajectory.

Reference: AAP Clinical Practice Guidelines: https://www.aap.org/en/quality-improvement/clinical-practice-guidelines/