Overactive bladder — DRCOG MCQ
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Correct answer: E — Offer bladder training for at least 6 weeks
Offer bladder training for at least 6 weeks is the best answer because the vignette is testing Overactive bladder and the recommended approach is consistent with NICE NG123. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Request CA125; Refer for routine gynaecology review; Advise fluid restriction to 500 ml daily; Advise rest and hydration at home would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.
Reference: NICE NG123