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April 12, 2024

A 10-year-old white boy presents at an annual school examination. Past history is unremarkable. For four months he

A 10-year-old white boy presents at an annual school examination. Past history is unremarkable. For four months he has had frequent constipation, decreased energy for participation in athletics, and worsening school performance. Height is 54.75 inches (50th percentile), and weight is 96 pounds (90th percentile). BMI is 22.5 (-95th percentile). Pulse is 60 and blood pressure is 110/90. His skin is dry and he has mild non-pitting pretibial edema. Deep tendon reflexes are decreased. Which investigation should be performed in connection with his obesity? • A. Hemoglobin AIC • B. Insulin levels • C. ACTH stimulation test • D. T4, TSH

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