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Kaplan Qbank USMLE



Author7 Posts
  #1

A 9-month-old boy has asymptomatic bacteriuria. Which of the following would be the most useful initial step in the evaluation of the patient?

A. Renal biopsy

B. Intravenous pyelogram

C. Oral Glucose Tolerance Test

D. Urine for reducing substances

E. Creatinine clearance


  #2

B. Intravenous pyelogram


___________________
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."

  #3

B

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Every disaster hides an opportunity.

  #4

That's right, in fact asymptomatic bacteriuria in infancy is more common in boys and mostly due to "structural renal abnormalities" according to the explanation of the q

Now i don'y know this: what kind of abnormalities are most often cause of this?


Edited by virgola82 on 05/02/07 - 04:39 PM

  #5

pyelonephritis is most common form of UTI in infancy and usually results from vesicoureteral reflux (VUR). VUR is a result of renal pelvic dilatation. other congenital anomalies that can cause bacteriuria are ureteropelvic junc. obstruction, ureterovesical junc. obstruction, ectopic ureter and posterior uretheral valves all of which cause urinary stasis.

this is what i could find.....could be right, could be wrongwink

anyone else?

___________________
Every disaster hides an opportunity.

  #6

nodnod

___________________
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."

  #7

Thanks a lot silver, great explanation







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