Declining Academic Performance in Pediatrics — 8yo Child | Pediatric Endocrinology | SMLE Q#12259
SMLE Question #12259
Pediatrics
Pediatric Endocrinology
Objective: OBJ-173
Last updated: February 2026
An 8-year-old boy has had persistent inattention and hyperactivity at home and school for 1 year. Teachers report he frequently leaves his seat, interrupts others, and has difficulty completing tasks, with declining academic performance and social problems. Behavioral strategies at home (structured routines and reduced screen time) have been tried for several months with minimal improvement. Physical and neurologic examinations are normal. What is the most appropriate next step in management to prevent further functional impairment?
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