Conceptual Actual Emended Exam Questions
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Q1. Enuresis is defined as:
A) Bedwetting at least once a week in children over 3
B) Involuntary urination twice weekly for 3 months in children >5
C) Daytime accidents in preschool children
D) Any urination at night in toddlers
Answer: B
Rationale: DSM-5-TR: enuresis = ≥2 nights/week for ≥3 months in children older
than 5.
Q2. What distinguishes primary monosymptomatic enuresis from secondary
monosymptomatic enuresis?
A) Primary occurs after a dry period; secondary occurs with no dry period
B) Primary = never dry; secondary = recurrence after 6+ months dryness
C) Primary always linked to medical cause; secondary is behavioral
D) Primary = daytime only; secondary = nighttime only
Answer: B
Rationale: Primary = never dry; secondary = relapse after 6 months dry.
Q3. Which medication is FDA-approved for nocturnal enuresis?
A) SSRIs
B) Desmopressin (DDAVP)
C) Imipramine
D) Methylphenidate
,Answer: B
Rationale: Desmopressin is first-line pharmacologic therapy.
Q4. Non-monosymptomatic enuresis (NMNE) requires:
A) A quick trial of DDAVP
B) Comprehensive evaluation for bladder dysfunction
C) Referral for psychiatric hospitalization
D) Daily use of benzodiazepines
Answer: B
Rationale: NMNE involves LUTS (lower urinary tract symptoms) → requires full
urologic evaluation.
Q5. The most common comorbidity with childhood enuresis is:
A) ADHD
B) Schizophrenia
C) Bipolar disorder
D) Autism spectrum disorder
Answer: A
Rationale: Enuresis commonly co-occurs with ADHD.
Q6. By age 40, approximately what percentage of men experience erectile
dysfunction?
A) 10%
B) 25%
C) 40%
D) 70%
Answer: C
Rationale: About 40% of men at age 40 have ED.
,Q7. By age 70, ED prevalence increases to:
A) 30%
B) 50%
C) 70%
D) 90%
Answer: C
Rationale: Up to 70% of men are affected at age 70.
Q8. First-line pharmacologic treatment for ED is:
A) Alpha blockers
B) PDE-5 inhibitors (e.g., sildenafil)
C) SSRIs
D) Benzodiazepines
Answer: B
Rationale: PDE-5 inhibitors are gold standard.
Q9. Which condition is not a common cause of ED?
A) Diabetes
B) Hypertension
C) Alcohol use
D) Penicillin use
Answer: D
Rationale: Penicillin is not linked to ED.
Q10. The International Index of Erectile Function (IIEF) measures:
A) Anxiety severity
B) Sexual desire, arousal, orgasm, and satisfaction in men
, C) Depression severity
D) Childhood trauma
Answer: B
Rationale: IIEF evaluates male sexual functioning.
Q11. Female Sexual Dysfunction (FSD) is defined as:
A) Lack of sexual activity
B) Persistent problems with sexual response, desire, orgasm, or pain causing
distress
C) Anorgasmia only
D) Sexual avoidance without distress
Answer: B
Rationale: DSM-5-TR: persistent issues with desire, arousal, orgasm, or pain +
significant distress.
Q12. Which disorder involves reduced sexual interest and arousal for ≥6 months?
A) Genito-Pelvic Pain Disorder
B) Female Orgasmic Disorder
C) Female Sexual Interest/Arousal Disorder
D) Substance-Induced Sexual Dysfunction
Answer: C
Rationale: Requires 3+ symptoms of reduced desire/arousal ≥6 months.
Q13. Symptoms of Female Sexual Interest/Arousal Disorder include:
A) Reduced fantasies and decreased initiation
B) Increased libido
C) Compulsive masturbation
D) Pelvic floor pain only