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A 14 year old female presents to the clinic with possible upper UTI (pyelonephritis). What symptoms would you expect to see with this diagnosis?

High fever

Nausea and vomiting

Abdominal pain

Abdominal distension

Costovertebral angle tenderness

Answer and Explanation

Correct Answer : A,B,C,E

a) High fever: Commonly associated with upper urinary tract infections such as pyelonephritis.

b) Nausea and vomiting: These symptoms often accompany pyelonephritis due to the systemic inflammatory response.

c) Abdominal pain: It's a common symptom of pyelonephritis due to the kidney involvement.

d) Abdominal distension: This symptom is less typically associated with pyelonephritis.

e) Costovertebral angle tenderness: Often present in pyelonephritis due to kidney inflammation.

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Correct Answer is A

Explanation

a) A 3-week-old infant born at 35 weeks’ gestation with gastroenteritis: Premature infants are more vulnerable to complications, and gastroenteritis can lead to dehydration, which can be critical for a newborn.

b) A term 2-week-old infant of American Indian descent with an upper respiratory infection: While concerning, it might not pose an immediate threat of mortality compared to conditions affecting premature infants.

c) A post-term 4-week-old infant, Black descent, with moderate emesis after feeding: Vomiting after feeding might indicate various issues but might not immediately suggest a high risk of mortality.

d) A 1-week:old infant born at 40 weeks’ gestation with symptoms of cough: Cough alone might not indicate severe conditions in a newborn.

A. The nonbiological father from the heterosexual father cohabitating with the family B. the divorced father from the binuclear family C. the stepfather from the blended family D. the divorced father when the single parent mother has custody

Correct Answer is B

Explanation

a) The nonbiological father from the heterosexual father cohabitating with the family: While he may have a close relationship, legal consent might not be automatically granted without legal documentation or permission.

b) The divorced father from the binuclear family: the divorced father from a binuclear family can consent to treatment since he is a biologic parent to the baby.

c) The stepfather from the blended family: Emergency medical consent might require legal documentation or guardianship unless specifically granted through legal means.

d) The divorced father when the single parent mother has custody: Unless specified in custody documents, emergency medical consent might still require the custodial parent's approval or both parents' consent.

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A 14 year old female presents to the clinic with possible upper UTI (pyelonephritis). What symptoms would you expect to see with this diagnosis?

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