A well-appearing 35-day-old infant has fever 101.9°F (38.8°C). Vitals stable, exam benign. Appropriate evaluation/management per 8-60 day pathway?...

Question

A well-appearing 35-day-old infant has fever 101.9°F (38.8°C). Vitals stable, exam benign. Appropriate evaluation/management per 8-60 day pathway?

Accepted Answer

Urinalysis and urine culture, blood culture, inflammatory markers to risk-stratify; consider outpatient management if low risk and close follow-up

Answer

Full sepsis workup with mandatory LP and admission

Answer

No labs; send home

Answer

Empiric IV vancomycin and cefepime for 7 days

Answer

CXR and viral panel only

us-usmle-step-2 MCQ (SBA): Febrile Infant (29-60 Days)