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Adolescent obesity — USMLE Step 3 MCQ

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ModeratePediatrics (well-child, chronic management)Adolescent obesityUSMLE Step 3

A 14-year-old girl has BMI at the 98th percentile. Blood pressure is 128/78 mm Hg. She drinks sugar-sweetened beverages daily and has low physical activity. She has no symptoms of eating disorder. Family is ready to make changes. Which of the following is the most appropriate at this time?

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Correct answer: E — Offer intensive family-based lifestyle and behavioral treatment

Childhood obesity should be managed with intensive, family-centered behavioral treatment and evaluation for comorbidities.

Reference: AAP childhood obesity clinical practice guideline: https://www.aap.org/