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Pediatrics · Nephrology: vesicoureteric reflux
Sample itemWhy does vesicoureteric reflux matter in children with recurrent febrile urinary tract infections?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. It can predispose to renal scarring
Vesicoureteric reflux permits retrograde urine flow and can increase risk of recurrent pyelonephritis and renal scarring. Imaging and follow-up depend on age, severity, and infection pattern.
Option by option
A. It is diagnosed by chest radiograph
Urinary tract imaging is required; chest radiography is irrelevant.
B. It prevents bacterial ascent
Reflux promotes, rather than prevents, bacterial ascent.
C. It always causes nephrotic syndrome
Nephrotic syndrome is a glomerular protein-loss disorder.
D. It can predispose to renal scarring (correct)
Correct. Reflux can facilitate upper-tract infection and scarring.
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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