PEDIA FEEDBACK

UTI
Answers based on lecture notes
1. Antibiotic prophylaxis
TMP-SMX
Nitrofurantoin
Nalidixic acid
2. Indication for hospitalization
Dehydration
Vomiting
Inability to drink fluids
< 1 month of age
Urosepsis suspected
3. Urinalysis findings
Leukocyte esterase of Nitrate test positive
Pyuria: > 5/hpf [centrifuged, standard]
>10 WBC /mm
3
[uncentrifuged,
enhanced]
Bacteria present in an unspun Gram-stained
specimen
4. Most sensitive test
DMSA Scan
5. Risk factor for UTI
Female gender
Uncircumcised male
Vesicoureteral reflux
Toilet training
Voiding dysfunction
Obstructive uropathy
Urethral instrumentation
Wiping from back to front in females
Bubble bath
Tight clothing (underwear)
Pinworm infestation
Constipation
Bacteria with P fimbriae
Anatomic abnormality (labial adhesion)
Neuropathic bladder
Sexual activity
Pregnancy
Post test RF, RD, Urolith
IDENTIFICATION
1. Most common metabolic disorder causing nephrolithiases
HYPERCALCEMIA
2. An advantage of peritoneal dialysis over hemodialysis
AMBULATORY, CAN BE DONE AT HOME, NO NEED FOR
ANTICOAGULANTS
3. Complication of HSP INTUSSUSCEPTION, NEPHRITIS,
HYPERTENSION, INTRACRANIAL HEMORRAGE
4. Most useful test to monitor development of coronary artery
compli 2D ECHO
5. Life threatening complicaion of Takayasu ANEURYSMAL
RUPTURE
6. Excellent screening tool for SLE ANA TITER
7. Most efficacious and least toxic of the second line
METHOTREXATE
8. Complication from rapid correction from metabolic acidosis
TETANY, HYPOKALEMIA
9. Type of RTA resulting from hypoaldosteronism TYPE IV
10. Mainstay treatment of metabolic acidosis SODIUM BICARB

TRUE OR FALSE
11. Management of struvite calculi includes urinary acidification
FALSE
12. Barters syndrome characterized by hypokalemic metabolic
alkalosis with hypercalcemia TRUE
13. Administration of Ca gluconate in ARF to decrease potassium
FALSE
14. Tumor lysis syndrome is a common cause of pre-renal ARF
FALSE
15. ACE inhibitors given in the absence of hypertension should be
strongly considered TRUE
16. Arthritis in HSP resolves in a few days without residual
deformity TRUE
17. Takayasu arteritis is chronic inflammatory disease of large
vessels TRUE
18. Patients with acute Kawasaki should be treated with
corticosteroids FALSE
19. SLE is a lifelong illness so patients must be monitored
indefinitely TRUE
20. Elevated ANA titers are present in at least 85% of children
with systemic JRA FALSE