skip to main content

Childhood obesity — USMLE Step 2 CK MCQ

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

ModeratePediatricsChildhood obesityUSMLE Step 2 CK

A 12-year-old Hispanic boy comes to the emergency department because of new symptoms noticed by a caregiver. History and focused examination are notable for body mass index above the 95th percentile with acanthosis nigricans. 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: E — Intensive health behavior and lifestyle treatment

The vignette describes Childhood obesity, supported by body mass index above the 95th percentile with acanthosis nigricans. Intensive health behavior and lifestyle treatment 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: https://publications.aap.org/pediatrics#stage-9-order-41