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Pediatrics Practice MCQs

Browse 8,461 high-yield clinical questions in Pediatrics. Includes detailed explanations, options, and topic tags.

#3764 Growth, Development, and Behavior

A 6-year-old boy is often teased at school because he has stooled in his underwear almost daily for the last 3 months. He was toilet trained at 2 years of age without difficulty, but over the last 2 years he has developed ongoing constipation. His family is frustrated because they cannot believe him when he says, "I didn't know I had to go." He is otherwise normal; school is going well, and his home life is stable. His only significant finding on examination is stool in the rectal vault. The plain radiograph of his abdomen is shown. Initial management of this problem should include which of the following?

#3765 Urinary Tract

A 5-year-old girl without past history of UTI is in the hospital on antibiotics for E coli pyelonephritis. She is still febrile after 4 days of appropriate antibiotics. A renal ultrasound revealed no abscess, but a focal enlargement of one of the lobes of the right kidney. CT scan of the abdomen reveals a wedge-shaped area in the right kidney distinct from the normal tissue with minimal contrast enhancement. Appropriate management of this patient includes which of the following interventions?

#3789 Gastro Intestinal System

An 8-year-old boy is brought to your office with the complaint of abdominal pain. The pain is worse during the week and seems to be less prominent during the weekends. The patient's growth and development are normal. He has one soft stool a day, and does not complain of painful defecation. The physical examination is unremarkable, with no masses, no rebound tenderness, and no guarding. Laboratory screening, including stool for occult blood, CBC, urinalysis, and chemistry panel yields normal results. Which of the following is the best next step in the care of this patient?

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