ROSH Gastrointestinal Practice Exam

What additional studies should be considered for a nine-year-old girl in the 94th percentile for BMI?

1. Abdominal ultrasound to look for fatty liver disease

2. Hemoglobin A1C and complete metabolic panel

3. Lipid panel and complete metabolic panel

4. No additional studies are recommended until age 11

The correct answer is: Lipid panel and complete metabolic panel

For a nine-year-old girl in the 94th percentile for BMI, the recommendation to conduct a lipid panel and a complete metabolic panel is appropriate and aligns with guidelines for screening children who are overweight or obese. These studies are important for assessing potential metabolic complications associated with excess weight. The lipid panel can help identify dyslipidemia, which is common in children with elevated BMI, increasing their risk of cardiovascular diseases later in life. Early identification allows for timely interventions, including dietary modifications and lifestyle changes, which can help improve outcomes. The complete metabolic panel is also valuable, as it provides information about kidney function, electrolyte balance, and liver enzymes. This can help to identify any metabolic syndrome components that may be present. Given the rising prevalence of type 2 diabetes mellitus and its association with obesity, monitoring these parameters becomes crucial in early intervention and management to prevent further health complications. Conducting these studies proactively before significant weight-related issues arise enables healthcare providers to address any emerging concerns and implement strategies for better health outcomes as the child grows.