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Stress urinary incontinence — DRCOG MCQ

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ModerateUrogynaecologyStress urinary incontinenceDRCOG

A 45-year-old woman leaks small volumes on sneezing with no urgency or nocturia. What is the most likely diagnosis?

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Correct answer: D — Stress urinary incontinence

Stress urinary incontinence is the best answer because the vignette is testing Stress urinary incontinence and the recommended approach is consistent with NICE NG123. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Pelvic inflammatory disease; Uterine fibroids; Bacterial vaginosis; Offer immediate surgery would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: NICE NG123