Selective cholesterol screening is recommended for children older than the age of 2 years with which risk factor?
a. Body mass index (BMI) = 95th percentile
b. Blood pressure = 50th percentile
c. Parent with a blood cholesterol level of 200 mg/dl
d. Recently diagnosed cardiovascular disease in a 75-year-old grandparent
ANS: A
Obesity is an indication for cholesterol screening in children. A BMI in the 95th percentile or higher is considered obese. Children who are hypertensive meet the criteria for screening, but blood pressure in the 50th percentile is within the normal range. A parent or grandparent with a cholesterol level of 240 mg/dl or higher places the child at risk. Early cardiovascular disease in a first- or second-degree relative is a risk factor. Age 75 years is not considered early.
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