A 58-year-old woman has urinary urgency and frequency with occasional leakage before reaching the bathroom. She has no dysuria, hematuria, pelvic

Question

A 58-year-old woman has urinary urgency and frequency with occasional leakage before reaching the bathroom. She has no dysuria, hematuria, pelvic organ prolapse, or neurologic deficits. Urinalysis is normal. Which of the following is the most appropriate next step in management?

Accepted Answer

Begin bladder training and pelvic floor exercises

Answer

Restrict fluids to near-zero intake

Answer

Prescribe long-term antibiotics

Answer

Start loop diuretic therapy

Answer

Schedule cystectomy

Overactive bladder — USMLE Step 3 MCQ

A 58-year-old woman has urinary urgency and frequency with occasional leakage before reaching the bathroom. She has no dysuria, hematuria, pelvic organ prolapse, or neurologic deficits. Urinalysis is normal. Which of the following is the most appropriate next step in management?