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Nocturia and medication timing — DGM MCQ

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ModerateContinenceNocturia and medication timingDGM

An 85-year-old woman with frailty has nocturia and occasional urgency incontinence. She drinks six cups of tea after 6 pm and takes furosemide at bedtime for ankle swelling. Urinalysis and glucose are normal. What is the most appropriate management?

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Correct answer: A — Move diuretic dosing earlier and reduce evening bladder irritants

Simple reversible contributors such as late diuretic dosing and evening caffeine should be addressed before medication or invasive assessment. Catheterisation increases infection and discomfort risk and is not first-line for urgency symptoms. Practical continence care often begins with timing, fluids and mobility.

Reference: NICE NG123; BNF