Urinary Tract Infections: ABFM practice questions

7 board-style questions on urinary tract infections in the PulseMD family medicine question bank, 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 10-month-old girl is brought to the office with a 2-day history of fever to 39.2°C (102.6°F), irritability, and poor feeding. There is no cough, rhinorrhea, or diarrhea. Physical examination is unremarkable except for the fever. Which of the following is the most appropriate initial diagnostic step?

1. Apply a urine collection bag and send for urinalysis and culture
2. Obtain a catheterized urine specimen for urinalysis and culture
3. Obtain a clean-catch midstream urine specimen for urinalysis and culture
4. Start empiric antibiotics and obtain urine culture only if symptoms do not improve

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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