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ADHD stimulant follow-up — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CareADHD stimulant follow-upUSMLE Step 3

A 9-year-old boy returns 1 month after starting methylphenidate for ADHD. Teacher reports improved attention. His appetite is reduced and he has lost 1 kg. Blood pressure and pulse are normal. There are no tics or mood symptoms. Which of the following would you recommend at the follow-up visit?

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Correct answer: A — Continue treatment with monitoring of growth, appetite, and vital signs

Stimulant follow-up includes monitoring symptom response, appetite, sleep, growth, blood pressure, and pulse; mild appetite effects can often be managed while continuing effective treatment.

Reference: AAP ADHD clinical practice guideline