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Pediatrics · Nephrology: urinary tract infection
Sample itemA febrile infant without an obvious source has poor feeding and vomiting. Why should urine testing be considered?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. UTI may present nonspecifically in infants
Infants with urinary tract infection may present with nonspecific fever, poor feeding, vomiting, or irritability rather than dysuria. Appropriate urine collection and culture are important before antibiotics when feasible.
Option by option
A. Fever excludes urinary infection
Fever is compatible with, not exclusionary for, UTI.
B. Urine tests diagnose meningitis
Urine tests do not diagnose meningitis.
C. UTI may present nonspecifically in infants (correct)
Correct. Nonspecific systemic symptoms are common in infant UTI.
D. UTI always causes dysuria in infants
Infants cannot reliably report dysuria and may not show it.
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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