Which clean-catch urinalysis finding should raise the most concern for a child admitted to an urgent care center to rule out a urinary tract infection?
- A. 2+ white blood cells
- B. 1+ red blood cells
- C. Urine appearance: cloudy
- D. Specific gravity: 1.009
Correct Answer: D
Rationale: A specific gravity of 1.009 is low, indicating diluted urine, which can be concerning in the context of a urinary tract infection. Diluted urine may suggest inadequate concentration due to increased fluid intake or impaired kidney function, which are important considerations in the assessment of a possible UTI.
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In infants, inferences about vision may be made by physical examination of the eye and assessment of
- A. language
- B. intelligence
- C. gross motor
- D. personal-social
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 2-year-old child is found playing with a can of crystalline drain cleaner. There are several crystals in the mouth, which you have the mother wash out. Treatment should be to
- A. have the mother administer lemon juice or orange juice to neutralize the alkaline crystals and come to your office
- B. have the mother administer water or milk and call you back in 2 hours
- C. have the mother administer water or milk and bring the child in for esophagoscopy
- D. simply observe the child because the crystals are so bitter that the child was trying to spit them out when the mother called, and therefore no problems should occur
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The MOST likely cause of a 4-year-old boy refusing to go to bed and remaining active is
- A. thyrotoxicosis
- B. ADHD
- C. behavioral insomnia of childhood
- D. sleep-onset association disorder
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are examining a 12-year-old female adolescent with a small nevus in the thigh; the mother is concerned regarding the future development of melanoma. All the following findings raise suspicion of melanoma EXCEPT
- A. enlarging nevus
- B. changing colors
- C. irregular margins
- D. easily bleeds
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are examining an infant with multiple cutaneous hemangiomas; you suspect involvement of internal organs. The MOST common site of visceral involvement by hemangiomas is
- A. brain
- B. heart
- C. lung
- D. liver
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.