Appropriately Sized Cuff in Pediatrics — 10yo Child | General Pediatrics | SMLE Q#18652

SMLE Question #18652

Pediatrics General Pediatrics

Objective: OBJ-377

Last updated: February 2026
A 10-year-old child is seen in primary care for routine follow-up. BMI is at the 98th percentile. Blood pressure, measured with an appropriately sized cuff, has been at or above the 95th percentile for age/sex/height on three separate clinic visits. The child has acanthosis nigricans on the posterior neck and a family history of hypertension and type 2 diabetes mellitus in both parents. The child has no headache, visual changes, chest pain, or urinary symptoms. What is the most appropriate next step in evaluation of this child’s blood pressure?

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