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Urgency urinary incontinence — DGM MCQ

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ModerateContinenceUrgency urinary incontinenceDGM

An 84-year-old woman reports sudden leakage when she cannot reach the toilet in time. She passes urine eight times daily and twice at night. Pelvic examination shows mild atrophy, urinalysis is negative and she has no leakage with coughing. What is the most likely diagnosis?

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Correct answer: B — Overactive bladder with urgency incontinence

Urgency, frequency and nocturia with leakage before reaching the toilet indicate overactive bladder. Stress incontinence is leakage with exertion, cough or sneeze. In older adults, urgency may be compounded by mobility and environmental barriers.

Reference: NICE NG123