Deck 16: Childhood Overweight and Obesity

Question 1

You are seeing a 9-month-old for a routine well-child visit, and note a family history of obesity. Which of the following areas of the CDC growth chart would you use to best assess this baby's current status and risk for overweight?

A) Body mass index
B) Weight for length
C) Weight
D) None of the above

Answer 1

B

Question 2

A 10-year-old child presents to your office as a new patient for "concerns about weight." The child's BMI is in the 97% for age and sex. Which of the following items should you include in your focused history for this visit?

A) Family history of overweight, hyperlipidemia, and diabetes
B) History of mental/behavioral conditions and management
C) Quantity and quality of sleep
D) All of the above

Answer 2

D

Question 3

Motivational interviewing is not an appropriate approach to obesity management for preschool-aged patients because they do not have the cognitive capacity to understand it.

Answer 3

False

Question 4

The parents of your 11-year-old patient, who has a BMI of 94% for age and sex, ask how much weight they should encourage their child to lose. Your counseling should include which of the following recommendations in order for the child to achieve a healthy BMI?

A) Maintain current weight or slow weight gain
B) Lose weight, but no more than 1 lb per month
C) Lose weight, but no more than 2 lbs per week
D) Gain no more than 2 lbs per month

Question 5

A 14-year-old girl presented as a new patient for well-child care with a BMI of 98% for age and sex. At the first visit, the patient was counseled about appropriate weight loss strategies and appeared motivated to make changes to diet and physical activity. Four weeks later, the patient has lost 12 lb (5.4 kg), which she attributes to dietary changes, and states that her activity level has not increased. Which of the following is the most appropriate next step in management?

A) Develop a physical activity program
B) Evaluate for excessive caloric restriction
C) Discuss her unwillingness to start exercising
D) Schedule a follow-up visit in another 4 weeks

Question 6

Over the last decade, the prevalence of childhood overweight in the United States has:

A) Almost doubled
B) Remained relatively stable
C) Decreased by almost half
D) Increased by one-third

Question 7

You receive laboratory results for your 16-year-old patient. At last follow-up, the patient's BMI was 98% for age and sex and the family history was positive for obesity in both parents and hyperlipidemia and diabetes in two grandparents. Significant results include HgbA1c-5.3, ALT-85, AST-79, LDL-99, 25OHD-35. Based on these results and the patient's history, the patient is currently at highest risk for which comorbid condition?

A) Type II diabetes
B) Hyperlipidemia
C) Nonalcoholic fatty liver
D) Hypovitaminosis D

Question 8

After counseling the family of an obese school-aged child about the "My Plate" approach to providing balanced and nutritious meals, you ask the child to give an example of a meal that follows this method. Which of the following statements made by the child confirms an understanding of My Plate?

A) "My meals will be made up of at least ¼ milk, cheese, or yogurt."
B) "No more than half my plate should include grains and proteins."
C) "Fruits and vegetables should make up a quarter of my plate"
D) "It is ideal to have half my plate made up of meat and eggs."

Question 9

The most successful interventions for childhood obesity prevention and management involve:

A) Family-centered approaches
B) Infrequent provider visits
C) Calorie-counting diet plans
D) Provider-led goal setting

Question 10

Bariatric surgery is currently available as a method for tertiary obesity management in adolescents.