An 8-year-old boy with sickle-cell anemia and a 5-hour history of priapism
A male newborn with a distended bladder, bilateral hydronephrosis, and respiratory insufficiency
A newborn with hydronephrosis in a solitary kidney
A 12-year-old girl with microscopic hematuria during a routine examination
A 4-year-old boy with acute right scrotal pain
All of the above
Death
Wound infection
Penile curvature
Meatal stenosis
increased mobility.
limited chest wall protection.
limited visceral adipose tissue.
relatively increased renal size.
before 6 months of age.
all of the above.
after puberty.
between 1 year and 6 years.
none of the above.
Uncomplicated urinary tract infection
Fibroepithelial polyp
Hyperuricosuria
Hypercalciuria
Poststreptococcal glomerulonephritis
hepatosplenomegaly.
only a and
nephromegaly.
macroglossia.
Posterior urethral valve
Ureteropelvic junction obstruction
Primary obstructive megaureter
Nephrolithiasis
Before discharge from the nursery
None of the above
Both a and b
At the first well-baby visit
No testing is required
renal pathology is the source of up to two thirds of neonatal abdominal masses.
a solid flank mass may be due to renal vein thrombosis.
the abdominal wall is normally strong, especially in infants with hydronephrosis.
abdominal distention at birth or shortly afterward suggests either obstruction or perforation of the gastrointestinal tract.
All of the above are true.
(b) A combination of two or more congenital midline skin lesions is the strongest marker of occult spinal dysraphism.
(c) An “atypical” presacral dimple, as defined, may indicate spina bifida or cord tethering, if the dimple is in the midline, less than 2.5 cm from the anal verge at birth, or shallower than 0.5 cm.
(a) Forty percent of patients with atypical presacral dimples have associated occult spinal dysraphism.
Both a and b are true.
a, b, and c
(a) Bruised vaginal mucosa in a prepubertal child
(c) A normal genital and perineal examination
(b) Penile discharge
a and c
after urinary tract infection.
from undergarment irritation.
as a result of birth trauma.
after a newborn physical examination.
after healing of the inflamed, denuded glans after circumcision.
Congenital adrenal hyperplasia or androgen insensitivity syndrome
Congenital adrenal hyperplasia or true hermaphroditism
Congenital adrenal hyperplasia or mixed gonadal dysgenesis
Mixed gonadal dysgenesis or androgen insensitivity syndrome
True hermaphroditism or mixed gonadal dysgenesis
urinary incontinence associated with a neurologic condition.
urinary incontinence associated with constipation.
incontinence associated with urinary tract infection.
urinary incontinence after a dry interval greater than 6 months.
diurnal and nocturnal enuresis.
b and c
it is large.
it is changing in volume.
it accompanies a symptomatic hernia.
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