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    STU 25SUM1 Pediatric Competency Proctored Exam

    A 12-year-old overweight adolescent was diagnosed with an unstable slipped capital femoral epiphysis. Appropriate anticipatory guidance for this child is to:

    Explanation & Rationale

    Rationale: A. Avoiding contact sports is important long-term, but it is not the immediate priority for an unstable slipped capital femoral epiphysis (SCFE). B. While limited weight-bearing is essential, prolonged wheelchair use is typically only required until surgical stabilization, not as a permanent measure. C. Ice or heat applications provide minimal benefit for SCFE; they do not address the mechanical instability of the hip. D. Surgical repair is the definitive treatment for an unstable SCFE. Prompt surgical intervention, usually in situ pinning, is necessary to prevent further slippage, reduce the risk of avascular necrosis, and restore hip stability. Early recognition and timely surgery are critical components of anticipatory guidance for the patient and family

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