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Pediatric obesity follow-up — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CarePediatric obesity follow-upUSMLE Step 3

A 12-year-old boy has BMI at the 97th percentile at two visits. He has acanthosis nigricans and a family history of type 2 diabetes. Blood pressure is at the 92nd percentile. Which of the following would you recommend at the follow-up visit?

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Correct answer: B — Intensive family-based lifestyle treatment and screening for metabolic comorbidities

Pediatric obesity management includes intensive health behaviour and lifestyle treatment and evaluation for comorbidities such as dyslipidemia, diabetes, and fatty liver disease.

Reference: AAP pediatric obesity clinical practice guideline