Pediatric practice questions and answers

Pediatric practice questions 1. A 30monthold girl who has been toilet trained for 6 months has daytime enuresis and dysuria and a low grade fever. A dipstick urinalysis is negative for leukocyte esterase and nitrites. What is the next step? a. Begin empiric treatment with trimethoprim sulfamethoxazole. b. Discuss behavioral interventions for toilet training. c. Reassure the child's parents that the child does not have a urinary tract infection. d. Send the urine to the lab for culture d 2. The clean catch urine specimen of a child with dysuria, frequency, and fever has a colony count between 50,000 and 100,000 of E. coli. What is the treatment for this child? a. Obtain a complete blood count and C-reactive protein b. Perform sensitivity testing before treating with antibiotics c. Repeat the culture is symptoms persist or worsen d. Treat with antibiotics for urinary tract infection d 3. A dipstick urinalysis is positive for leukocyte esterase and nitrites in a school age child with dysuria and foul smelling urine but no fever who has not had previous urinary tr