NO! Pediatric board questions are NOT like mini-patients.
Don’t believe me? Well, by the end of this article you’re going to:
How would you proceed with the little girl below? It’s a short question, so please set your timer to 60 seconds, read the question below and commit to ONE answer choice.
A 3-year-old female toddler presents for a routine well child visit. You note an abdominal mass on exam. You suspect the child may have a Wilms tumor. There have not been any urinary symptoms, but urine dipstick shows evidence of blood. There’s a history of breast cancer in the family.
Which of the following is the most appropriate diagnostic test to determine the cause of the patient’s abdominal mass?
A. CT scan of the abdomen and pelvis
B. Complete urinalysis
C. Oncology referral
D. Biopsy of the mass
E. BRCA gene testing