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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

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