Medical Council of Canada MCCQE Part 1 Exam MCCQE Question # 21 Topic 3 Discussion
MCCQE Exam Topic 3 Question 21 Discussion:
Question #: 21
Topic #: 3
You are meeting an otherwise healthy 10-year-old boy in your office for the first time. His BMI is at the 80th percentile. He has no symptoms and his physical examination is normal. Which one of the following is the best next step?
Children with a BMI ≥85th percentile (overweight) and risk factors such as sedentary lifestyle or family history should be screened for cardiovascular risk. A fasting lipid profile is recommended starting at age 9–11 as part of universal screening per guidelines.
Toronto Notes 2023 – Pediatrics:
“Universal lipid screening is recommended for children aged 9–11 and 17–21. Children who are overweight should undergo targeted screening including fasting lipids.”
“Candidates must recognize screening indications for common pediatric risk factors, including dyslipidemia in overweight children.”
Thyroid and cortisol testing (C, D) are not indicated without symptoms. HbA1c (E) is used in children with BMI >95% or with additional diabetes risk factors.
Contribute your Thoughts:
Chosen Answer:
This is a voting comment (?). You can switch to a simple comment. It is better to Upvote an existing comment if you don't have anything to add.
Submit