CASE STUDY

An 11-year-old male patient presents for an annual wellness examination. Medical history is significant for frequent ear infections as a toddler that resolved after tube placement. His review of systems is otherwise negative. Physical examination reveals normal height and weight for age with a body mass index in the 75th percentile.

CASE STUDY QUESTIONS

1. According to the U.S. Preventive Services Task Force (USPSTF) recommendation statement, which one of the following describes screening recommendations for high cholesterol for this patient?

• A. The patient should be screened as part of universal screening for this age group.

• B. The patient should not be screened, because his body mass index is normal.

• C. Screening should be delayed until the patient is a teenager.

• D. The decision to screen should made by assessing the patient's personal, family, and social history and physical examination findings.

2. The patient's mother expresses concern about his cholesterol level because the family often eats fast food. She also remembers her grandfather having a heart attack but does not remember how old he was when it occurred. Based on the USPSTF recommendation, which of the following describe how the patient's mother should be counseled?