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Overactive bladder — DRCOG MCQ

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ModerateUrogynaecologyOveractive bladderDRCOG

A 67-year-old woman has urgency, frequency and nocturia with leakage before reaching the toilet. Urine dipstick is negative and pelvic examination is unremarkable. She drinks 8 cups of tea daily. What is the most appropriate investigation?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Bladder diary

A bladder diary is a useful initial investigation for urgency, frequency and nocturia when infection has been excluded. CA125, laparoscopy and endometrial biopsy do not investigate overactive bladder symptoms. The diary helps quantify fluid intake, voiding pattern and leakage triggers. The pearl is that simple primary care tools often guide first-line bladder management.

Reference: NICE NG123