Chronic Pediatric Conditions Practice Test

1. A 15-year-old girl with type 1 diabetes has A1c 8.9% and reports intentionally underdosing insulin to avoid weight gain. She skips breakfast, eats large dinners, and has frequent hyperglycemia but denies DKA. She has irregular menses and expresses body dissatisfaction. Exam: normal vitals, BMI at 60th percentile; mild parotid enlargement is absent; no acanthosis. Labs: normal electrolytes, negative ketones today. She is medically stable but at risk for complications. Which interdisciplinary team member should be consulted for this aspect of the patient's care?

Which interdisciplinary team member should be consulted for this aspect of the patient's care?

1. A 15-year-old with type 1 diabetes is transitioning to greater self-management. He frequently forgets to bring supplies to school and has had repeated episodes of hyperglycemia during exams. Family conflict is increasing around diabetes tasks. He has stable housing and no substance use. A1c is 9.3%. He asks for help “staying on track” without constant parental reminders. Which interdisciplinary team member should be consulted for this aspect of the patient's care?

Which interdisciplinary team member should be consulted for this aspect of the patient's care?