Stress urinary incontinence — DRCOG MCQ
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Correct answer: A — Advise supervised pelvic floor muscle training
Advise supervised pelvic floor muscle training is the best answer because the vignette is testing Stress urinary incontinence 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, Repeat the pregnancy test in one week; Request CA125; Advise rest and hydration at home; Offer reassurance without further assessment 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