Child and adolescent psychiatry: new-onset enuresis after dryness: practice question

A Psychiatry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Psychiatry · Child and adolescent psychiatry: new-onset enuresis after dryness

Sample item

A 7-year-old who was dry for over a year starts wetting nightly after the birth of a sibling, and also wets by day. What is the best next step?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Urinalysis for infection and glucose, then address stressors

Secondary enuresis after a dry period needs medical causes such as urinary tract infection and diabetes mellitus excluded, and psychosocial stressors explored. Drugs are considered only after this.

Option by option

  • A. Restrict all fluids and punish accidents

    Punishment worsens the problem and fluid restriction is not appropriate.

  • B. Start imipramine immediately

    Imipramine is a later option and has cardiac risks.

  • C. Urinalysis for infection and glucose, then address stressors (correct)

    Correct. Rule out organic causes first and then address the psychosocial trigger.

  • D. Start desmopressin immediately

    Desmopressin is not a first step before excluding an organic cause.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Psychiatry question

What is the answer to this Psychiatry question?

The best answer is C, Urinalysis for infection and glucose, then address stressors. Secondary enuresis after a dry period needs medical causes such as urinary tract infection and diabetes mellitus excluded, and psychosocial stressors explored.

Why is "Restrict all fluids and punish accidents" not the answer?

Punishment worsens the problem and fluid restriction is not appropriate.

Why is "Start imipramine immediately" not the answer?

Imipramine is a later option and has cardiac risks.

Why is "Start desmopressin immediately" not the answer?

Desmopressin is not a first step before excluding an organic cause.

What concept does this question test?

It tests Child and adolescent psychiatry: new-onset enuresis after dryness in Psychiatry. Drugs are considered only after this.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Child and adolescent psychiatry: new-onset enuresis after dryness?

Learn each diagnosis by its core features and its first-line treatment. Then use the flashcards and the other Psychiatry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.