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UTI child imaging — USMLE Step 3 MCQ

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ModeratePediatrics (well-child, chronic management)UTI child imagingUSMLE Step 3

A 10-month-old girl is recovering from her first febrile urinary tract infection due to E coli. She improved promptly with antibiotics. She has no known urinary tract abnormality. Parents ask about follow-up testing. Which of the following would you recommend at the follow-up visit?

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Correct answer: C — Order renal and bladder ultrasonography

After a first febrile UTI in infants 2 to 24 months, renal and bladder ultrasound is recommended; VCUG is reserved for abnormal ultrasound or recurrent febrile UTI.

Reference: AAP Urinary Tract Infection Guideline