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Developmental dysplasia of the hip screening — USMLE Step 3 MCQ

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EasyPediatrics (well-child, chronic management)Developmental dysplasia of the hip screeningUSMLE Step 3

A 4-week-old girl born breech at term has a normal hip examination at her well-child visit. There is no family history of hip dysplasia. Parents ask whether the normal examination means no further evaluation is needed. Which of the following is the most appropriate screening recommendation?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Arrange selective hip ultrasonography at 4 to 6 weeks of age

Breech presentation is a risk factor for developmental dysplasia; selective ultrasound at 4 to 6 weeks is commonly recommended even when the newborn examination is normal.

Reference: AAP Clinical Guidance on Developmental Dysplasia of the Hip