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Adolescent depression screening — USMLE Step 3 MCQ

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HardPediatrics (well-child, chronic management)Adolescent depression screeningUSMLE Step 3

A 12-year-old reports declining school performance but does not volunteer sadness. The practice has clinicians who can evaluate positive screens and arrange evidence-based treatment and follow-up. Which preventive action is best?

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

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Correct answer: BUse a validated depression screen and arrange diagnostic follow-up

Adolescents aged 12 to 18 should be screened for major depressive disorder when systems for diagnosis, treatment, and follow-up are available. The other approaches delay or bypass structured assessment.

Reference: USPSTF: Depression and Suicide Risk in Children and Adolescents: https://www.uspreventiveservicestaskforce.org/uspstf/node/1132