Enuresis

Question 1

Benjamin is a 4 year old boy whose mother is worried about his readiness for school because he still wets his bed at night. What proportion of normal children at school entry will still have problems with bed-wetting?

Question 1Select one:

a.
40%

b.
5%

c.
15%

d.
30%

Answer 1

15%

Question 2

Peter is a 5-year-old boy who has just started school. He is bowel trained, but wets most nights of the week although he is dry during the day. He is otherwise healthy and his physical examination is normal. WHICH ONE of the following is the MOST LIKELY diagnosis?

Question 2Select one:

a.
Primary enuresis

b.
Urinary tract infection

c.
Separation anxiety

d.
Urethral valves

Answer 2

Primary enuresis

Question 3

Peter is a 5-year-old boy who has just started school. He is bowel trained, but wets most nights of the week although he is dry during the day. He is otherwise healthy and his physical examination is normal. WHICH ONE of the following therapeutic interventions is MOST LIKELY to help his problem long term?

Question 3Select one:

a.
Ureteric reimplantation

b.
Night time buzzer alarm

c.
Prophylactic antibiotics

d.
Tricyclic antidepressant

Answer 3

Night time buzzer alarm

Question 4

Hemi is a 6 year old boy who has recently started bedwetting again (secondary nocturnal enuresis). He has had a urine dipstick which shows 1+protein, no leukocytes, no glucose. He goes to the toilet just before bedtime. On examination his abdomen is mildly distended but no specific abnormalities are found.

What is the most likely cause of his enuresis?

Question 4Select one:

a.
Urinary tract infection

b.
Nephrotic syndrome

c.
Veisco-ureteric reflux

d.
Chronic constipation

Answer 4

Chronic constipation

Question 5

Which of the following is the MOST APPROPRIATE treatment option for primary nocturnal enuresis?

Question 5Select one:

a.
Simple reassurance

b.
Twice daily lactulose

c.
Family-based therapy

d.
Enuresis alarm device

Answer 5

Enuresis alarm device

Question 6

What is the most common cause of long-standing diurnal enuresis in a 6 year old girl?

Question 6Select one:

a.
Urinary tract infection

b.
Child Sexual assault

c.
Pelvi-ureteric obstruction

d.
Dysfunctional bladder

Answer 6

Dysfunctional bladder