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Primary nocturnal enuresis — USMLE Step 3 MCQ

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ModeratePediatrics (well-child, chronic management)Primary nocturnal enuresisUSMLE Step 3

A 7-year-old boy has bedwetting 4 nights weekly. He has never been dry for more than 2 months. Daytime voiding, urinalysis, neurologic examination, and growth are normal. Which of the following would you recommend at the follow-up visit?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Use an enuresis alarm and positive reinforcement

Primary monosymptomatic nocturnal enuresis is treated with education, positive reinforcement, and alarms when families are motivated.

Reference: AAP/International Children's Continence Society Enuresis Guidance