Psychosocial

Question 1

Primary nocturnal enuresis

Answer 1

Never been dry on consecutive nights for 6 months

Question 2

Secondary nocturnal enuresis

Answer 2

Begin wetting after being dry 6 months

Question 3

Management for nocturnal enuresis

Answer 3

Alarms
Behavioral modification

Question 4

Organic causes of nocturnal enuresis

Answer 4

Sickle cell trait
UTI
Diabetes
Seizure or sacral issue

Question 5

Causes of secondary nocturnal enuresis

Answer 5

Severe snoring and sleep disruption
UTI
Diabetes
Constipstion
Stress

Question 6

Most common cause of diurnal enuresis (after period of daytime continence)

Answer 6

Behavior

(Cannot be diagnosed prior to age 3)

Question 7

Unintentionally produced physical symptom that has no physiological explanation

Answer 7

Somatization

Question 8

Symptoms Incompatible with anatomical or medical logic

Answer 8

Conversion disorder

Question 9

Preoccupation with illness, frequently in the context of previous illness

Answer 9

Hypochondriasis

Question 10

Presenting with false or exaggerated symptoms, often with a motive

Answer 10

Malingering

Question 11

Despite evidence of the contrary, the patient perceived themselves as being ugly or undesirable

Answer 11

Dysmorphic disorder

Question 12

Belief that something is medically wrong and may take psychotic dimensions (ie pancreas has wings)

Answer 12

Somatic delusions

Question 13

Effortless and painless vomiting for 2 months in the absence of an identifiable organic cause

Answer 13

Rumination syndrome

Question 14

Maximum amount of TV time for children

Answer 14

2 hours/day

0 if child < 2 y/o

Question 15

Age in which infants establish day/night schedule

Answer 15

2 months

Question 16

Age at which infants should be capable of sleeping through the night

Answer 16

4 months

Question 17

First 3rd of the night
Family history
Boys > girls
Deep breathing
Dilated pupils
Sweating, tachycardia, tachypnea
No recall of the episode

Answer 17

Night terror

Question 18

Last 3rd of the night
Woken easily
Recall the episode

Answer 18

Nightmare

Question 19

Red flags for human trafficking

Answer 19

Multiple ER visits
Recurrent STIs
Unusual tattooing
Overbearing “friend” or “relative”