A 12-year-old girl is diagnosed with type 1 diabetes 3 years earlier presents for a routine examination. She is on a basal bolus regime which she manages well. The total daily insu... A 12-year-old girl is diagnosed with type 1 diabetes 3 years earlier presents for a routine examination. She is on a basal bolus regime which she manages well. The total daily insulin dose is 32 units. Physical examination shows no abnormal findings. There are no signs of puberty (see lab result). Weight 40 kg (<50th percentile), Height 156 cm (t5th percentile), Glucose 6.0 3.5-5.5 mmol/L. Which of the following screening tests should be performed annually? A. Ophthalmoscopy B. Test for celiac disease C. Growth hormone test D. Ultrasound of kidneys
Understand the Problem
The question presents a clinical scenario involving a 12-year-old girl with type 1 diabetes of 3 years duration. It asks which of the listed screening tests should be performed annually, given the patient's history, current management, and physical examination findings. The goal is to identify the most appropriate preventative screening measure for this patient population.
Answer
Ophthalmoscopy should be performed annually to screen for diabetic retinopathy.
The final answer is A. Ophthalmoscopy
Answer for screen readers
The final answer is A. Ophthalmoscopy
More Information
Annual ophthalmoscopy is recommended for individuals with type 1 diabetes to screen for diabetic retinopathy, a common complication affecting the blood vessels in the retina.
Tips
It's important to consider the specific guidelines for managing type 1 diabetes in children and adolescents, including recommended screening tests and their frequency.
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