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Kaplan Qbank USMLE



Author4 Posts
  #1

A 7 year old African American boy is brought to your clinic with complaints of bedwetting. He was toilet trained a tthe age of 4. He has been able to pass urine normally in daytime, but has never been dry at night. There is no history of urgency or frequency during daytime. There is no history suggestive of child abuse. He had two episodes of urinary tract infections from birth until he was 2-years old, but he has not had any episodes ever since. What is the next best step in the management of this patient?

A. Urinalysis
B. IVP
C. Ultrasound of the Kidneys
D. Prescription of Imipramine
E. Behavioral modification

Please explain your answer.


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Our greatest glory is not in never falling, but in rising every time we fall.

  #2

A. Urinalysis

suspected UTI induced enuresis in patient has hx of UTI

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The Key to Succeed is Patience.

  #3

A. Urinalysis. Key step in figuring out if the pt has any sort anatomical abnormality or a secondary cause of NE.

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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #4

A is correct.. smiling face good job! smiling face

___________________
Our greatest glory is not in never falling, but in rising every time we fall.







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