A 5-Year-Old Boy Is Brought to the Office by His

question 74

Multiple Choice

A 5-year-old boy is brought to the office by his parents for a well-child visit.  His mother says, "My son is doing very well.  He is able to read at a first-grade level and knows his name and address.  He loves to sing, dance, and play house with his older sisters.  Everything seems fine with him; we just want to make sure his vaccinations are up to date before our family trip overseas."  The physician administers the appropriate vaccinations.  Just before leaving, the father says, "I think you should know that my son is playing with his sister's dolls and doesn't seem to like cars or trucks like most other boys.  Is that normal?"  Which of the following is the most appropriate response to the father's concerns?

• A)"I hear your concern; let me reassure you that many boys play with dolls as a normal part of exploring the world."
• B)"I understand your concern, but at his age it is best to allow him to play freely."
• C)"I understand your concern; it may help to have him play with male friends and spend more time with you."
• D)"It is helpful that you brought this up.  Your son may have gender dysphoria and need additional support and assessment."
• E)"There is no need to worry; children don't fully develop gender identity until adolescence."

---

Definitions:

Integumentary System

The integumentary system includes the skin and its appendages (such as hair, scales, feathers, and nails) acting as a barrier to protect the body from the external environment.

Osteoporosis

A condition characterized by weakened bones that are more susceptible to fracture, often due to reduced bone mass and density.

Vitamin D Production

The synthesis of vitamin D in the skin under the influence of ultraviolet radiation from sunlight, which is crucial for bone health and immune function.

Respiratory System

The biological system consisting of specific organs and structures used for gas exchange in animals and plants.