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Pediatric Rounds Review Questions

Fever, Hip Pain, and Vomiting in a 7-year-old boy

Stephanie M. Davis, MD

Dr. Davis is a house officer, Internal Medicine/Pediatrics Combined Residency Program, University of Michigan, Ann Arbor, MI..

The questions below are based on the November 2006 Pediatric Rounds article, “Fever, Hip Pain, and Vomiting in a 7-year-old boy”.


Choose the single best answer for each question.

1. What is the most common cause of acute hip pain in children aged 3 to 10 years?
  1. Referred intra-abdominal pathology
  2. Septic arthritis
  3. Slipped capital femoral epiphysis
  4. Transient synovitis
Click here to compare your answer.

2. When indicated, which of the following is the current standard of care for posttreatment work-up of pediatric urinary tract infection (UTI)?

  1. Repeat urinalysis and DMSA (renal cortical scintigraphy using 99M-TC dimercaptosuccinic acid tracer) scanning
  2. Repeat urine culture and renal ultrasound
  3. Voiding cystourethrography (VCUG) and DMSA scanning
  4. VCUG and renal ultrasound
Click here to compare your answer.

3. All of the following are considered possible risk factors for long-term renal scarring in children with UTI EXCEPT
  1. Delay in treatment
  2. Documented renal involvement in an acute infection
  3. Preexisting microalbuminuria
  4. Recurrent UTI
Click here to compare your answer.


4. Which child most clearly does not need a posttreatment UTI work-up?

  1. A 16-month-old previously healthy female infant with afebrile UTI that resolves clinically with 7-day treatment
  2. A 5-year-old male child who presents at his well check with a history of febrile UTI 1 year ago that resolved with 7-day treatment and has not recurred
  3. A 7-year-old girl with a first symptomatic febrile UTI that resolves clinically with 7-day treatment
  4. A 9-year-old girl with a first afebrile UTI that resolves clinically with her second course of antibiotics
Click here to compare your answer.
 

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