You are meeting an otherwise healthy 10-year-old boy in your office for the first time.

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.”

MCCQE1 Objectives (Pediatrics > 78-1: Preventive Pediatrics):

“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.