Uworld - GU

Question 1

Most common cause of urinary tract obstruction?

Answer 1

Posterior urethral valves

Question 2

Tetrad of HSP?

Answer 2

1. Rash
2. Arthralgias
3. Abdominal pain
4. Renal disease – IGA deposition

Question 3

Child under 24 months with the first febrile UTI – appropriate follow-up?

Answer 3

Renal/bladder ultrasound to evaluate for anatomic abnormalities

Question 4

Indications for renal/bladder ultrasound?

Answer 4

1. Infants under 24 months with the first febrile UTI
2. Recurrent febrile UTIs children
3. UTI and child with family history of renal/urologic disease, hypertension, poor growth
4. No response to anabiotic treatment

Question 5

Indications for voiding cystourethrogram?

Answer 5

1. Ultrasound shows hydronephrosis, renal scarring, vesicourethral reflux, obstructive uropathy
2. Recurrent febrile UTI
3. First febrile UTI with non-E. coli organism or family history of neurologic disease, hypertension, renal disease