A 16-Year-Old Boy Is Brought to the Office for a Well-Child

A 16-year-old boy is brought to the office for a well-child visit.  The patient has no medical history but reports that his appetite is low and he has lost 2.3 kg (5 lb) .  He stopped playing soccer recently due to lack of interest.  The patient is also worried about his grades due to difficulty staying focused in class and concentrating on his homework after school.  He feels tired despite sleeping 10 hours a night and taking afternoon naps when he gets home.  The patient says, "My parents try to be supportive, but everything they say these days gets on my nerves."  He has tried alcohol and marijuana a few times at parties but does not use other drugs.  Vital signs are within normal limits.  Physical examination is unremarkable.  Which of the following is the most appropriate next step in management of this patient?

A) Administer an attention deficit hyperactivity disorder rating scale
B) Ask to speak with the patient's parents
C) Check complete blood count
D) Check thyroid function
E) Inquire about suicidal thoughts
F) Obtain a urine drug screen

Correct Answer:

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