Respiratory Quiz #18, Mediastinal Pathology  

1. A 68-year-old woman presents to her physician complaining of urinary leakage when she coughs, laughs, or sneezes. She has a history of two vaginal deliveries. Physical examination reveals no abnormalities other than a slight descent of the bladder neck during Valsalva maneuver. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 72-year-old man with a history of benign prostatic hyperplasia complains of a sensation of incomplete bladder emptying and dribbling urine. His symptoms persist despite medical therapy. Which of the following types of urinary incontinence is he most likely experiencing? 

Question 2 of 5

3. A 60-year-old woman presents with a sudden, compelling desire to urinate that is difficult to defer, followed by involuntary leakage of urine. She denies any leakage with coughing or sneezing. Her symptoms are significantly impacting her quality of life. Which of the following is the first-line pharmacotherapy for this condition? 

Question 3 of 5

4. A 55-year-old woman with multiple sclerosis presents with urinary urgency, frequency, and nocturia. She occasionally experiences incontinence when she cannot reach the bathroom in time. Which of the following mechanisms is most likely contributing to her urinary symptoms? 

Question 4 of 5

5. A 70-year-old man with diabetes mellitus type 2 presents with frequent nighttime urination and occasional daytime urinary incontinence. He reports a constant feeling of bladder fullness and a weak urinary stream. Which of the following is the most appropriate initial diagnostic test for this patient? 

Question 5 of 5


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