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Pediatrics · Urinary infections
Sample itemWhy should a febrile infant without a clear source be evaluated for urinary tract infection?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. UTI may present only with fever in young children
Young infants and children may have urinary infection without dysuria or flank pain, so unexplained fever often warrants appropriately collected urine testing to avoid missed pyelonephritis.
Option by option
A. UTI always causes visible blood
Visible hematuria is not required for UTI.
B. It prevents all viral infections
Testing for UTI does not prevent viral infections.
C. Urine testing is never useful
Urine testing is important when clinical suspicion exists.
D. UTI may present only with fever in young children (correct)
Correct: young children can have UTI with fever alone.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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