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ADHD medication titration — USMLE Step 3 MCQ

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HardPediatrics (well-child, chronic management)ADHD medication titrationUSMLE Step 3

An 8-year-old boy returns 4 weeks after starting methylphenidate for ADHD. Teacher reports improved attention. He has mild appetite reduction but no insomnia, tics, chest pain, or mood symptoms. Blood pressure and growth curve are acceptable. Which of the following would you recommend at the follow-up visit?

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

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Correct answer: A — Continue medication and monitor appetite, sleep, blood pressure, and growth

Stimulants require monitoring of benefit and adverse effects, including appetite, sleep, blood pressure, and growth.

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