Parents of a 7-year-old with primary nocturnal enuresis are seeking a "quick cure" medication. The child has normal daytime voiding. What is the recommended first-line intervention?
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✓ Correct answer: C. Alarm therapyThe correct answer is alarm therapy (and behavioral modification). Enuresis alarms have the highest long-term cure rate and are the recommended first-line treatment for motivated families. Distractor 1 (desmopressin) provides symptom control but has high relapse rates upon discontinuation, making it second-line. Distractor 2 (imipramine) has a higher side effect profile. Distractor 3 (anticholinergics) is used for bladder overactivity, not isolated nocturnal enuresis. Distractor 4 is invasive and unnecessary for uncomplicated enuresis.
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