Obesity (pediatrics) Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 12-year-old girl is brought to the clinic by a parent for a routine check-up. The parent is concerned about progressive weight gain over the past two years. There is no significant past medical history, and no medications are taken. The child has also been experiencing increased fatigue and difficulty concentrating in school. Family history is notable for type 2 diabetes mellitus in the father and obesity in the mother. Temperature is 36.8°C (98.2°F), heart rate is 88/min, respiratory rate is 18/min, and blood pressure is 118/78 mmHg. Body mass index is at the 97^th percentile for age and sex. Examination reveals velvety, hyperpigmented plaques over the nape of the neck. Cardiopulmonary examination is unremarkable. Which of the following additional features is most likely to be present on further history?

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Frequent nighttime snoring

Easy bruising and purple abdominal striae

Increased thirst and urination

Cold intolerance and constipation

History of neonatal hypotonia