skip to main content

Attention-deficit hyperactivity disorder — USMLE Step 2 CK MCQ

Instant feedback + full explanation. One question, done properly.

HardPediatricsAttention-deficit hyperactivity disorderUSMLE Step 2 CK

A 6-year-old African American girl comes to the pediatric clinic because of new symptoms noticed by a caregiver. History and focused examination are notable for inattention and hyperactivity in two settings with academic impairment. Temperature is 100.6°F (38.1°C), blood pressure is age appropriate, pulse is 128/min, respirations are 32/min, and oxygen saturation is 96% on room air. Physical examination confirms the key finding and shows no unrelated abnormality that would better explain the presentation. Growth parameters, hydration status, and focused testing are consistent with the described pediatric presentation. Which of the following is the most appropriate next step in management?

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

Reveal the answer and explanation

Correct answer: D — Behavioral therapy plus stimulant medication depending on age

The vignette describes Attention-deficit hyperactivity disorder, supported by inattention and hyperactivity in two settings with academic impairment. Behavioral therapy plus stimulant medication depending on age is the single best answer because it matches the diagnostic or management priority in this clinical setting. The other choices are plausible alternatives in related presentations, but they do not best fit the timing, findings, and guideline-directed approach described here.

Reference: AAP ADHD Guideline