Urinary Tract Infections: ABFM practice questions

8 board-style questions on urinary tract infections in the PulseMD family medicine question bank — physician-reviewed, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

A 2-year-old girl has had three febrile urinary tract infections in the past 12 months. A voiding cystourethrogram reveals grade IV vesicoureteral reflux on the left side. Renal ultrasound shows mild left hydronephrosis without cortical thinning. Her parents ask about preventing future infections. Which of the following is the most appropriate management?

  1. Continuous antibiotic prophylaxis and urology referral
  2. Immediate surgical ureteral reimplantation
  3. Observation with prompt treatment of future UTIs
  4. Daily cranberry extract supplementation

Sample question 2

A 14-month-old boy is diagnosed with his first febrile urinary tract infection. Urine culture grows greater than 50,000 CFU/mL of Escherichia coli. He responds well to a 10-day course of cephalexin. Which of the following imaging studies is recommended after his first febrile UTI?

  1. Renal and bladder ultrasound
  2. DMSA renal scan
  3. Voiding cystourethrogram (VCUG)
  4. No imaging is necessary after a first UTI

Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.

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