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Urge urinary incontinence — DGM MCQ

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EasyContinenceUrge urinary incontinenceDGM

A 78-year-old woman has sudden urinary urgency with leakage before reaching the toilet. She passes urine frequently by day and night. There is no cough leakage and urine dipstick is negative. Current medicines include amlodipine and metformin. What is the most likely diagnosis?

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Correct answer: D — Overactive bladder with urge urinary incontinence

Urgency with leakage before reaching the toilet and frequency suggests overactive bladder with urge incontinence. Stress incontinence is leakage on exertion, overflow is associated with retention, functional incontinence is due to access or mobility, and UTI requires supportive symptoms or tests. A bladder diary helps confirm symptom pattern and guide management.

Reference: NICE NG123