Examination With 100% Correct
Answers 2025\2026 Edition.
UTI in children - Answer E. coli/fecal flora most common organism
Newborn UTI symptoms - Answer fever, hypothermia, jaundice, poor feeding, irritability, FTT,
vomiting & sepsis
Preschool UTI symptoms - Answer abdominal & flank pain, vomiting, fever, urinary frequency,
dysuria, urgency or enuresis
School age UTI symptoms - Answer frequency, dysuria, urgency; CVA tenderness
Gold standard for UTI - Answer Urine culture
Renal U/S recommended in all infants after first febrile UTI
UTI tx - Answer amoxicillin, trimethoprim-sulfamethoxazole, or first get cephalosporin x 7-10
days
Glomerulonephritis features - Answer hematuria, edema, HTN & RBC casts in urine
Glomerulonephritis assessment - Answer uof B/P, renal function, serum albumin & urine
protein excretion
Acute postinfectious glomerulonephritis - Answer diagnosis related to recent infection of
group A B hemolytic strep; no tx
Cryptorchidism - Answer undescended testis
can cause infertility and testicular malignancy if untreated
, surgical orchidoplexy if descent not occurring before 6-12 mo
Anxiety in children - Answer CBT w/ exposure has the most evidence regarding successful tx
SSRIs can be started in as young as 6 yo (not fda approved tho)
Low dose fluoxetine or sertraline first line; check for suicidal thoughts or agitation w/in 1-2
weeks; try second SSRI if first doesn't work
SSRIs can work within days
Stranger anxiety - Answer 5 mo-2½ y, with a peak at 6-12 mo
Separation anxiety - Answer 7 mo-4 y, with a peak at 18-36 mo
GAD - Answer highly heritable; the symptoms must cause significant distress or disturbance of
function and be present for at least 6 months
fatigue, restlessness or poor concentration, irritability, feeling on edge, or sleep disturbance
Tx = Duloxetine, must be >7;
SSRIs (escitalopram or paroxetine) or SNRI (venlafaxine or duloxetine) 1st line
Benzos - Answer for acute anxiety relief in adults
OCD - Answer sudden onset should alert pediatrician for group A strep infections
psychoeducation first step in tx, best treated w/ CBT + meds, exposure and response prevention
fluvoxamine and sertraline (SSRI) approved for peds ocd
clomipramine (TCA) for adults