Pelvic Floor: ABFM practice questions

4 board-style questions on pelvic floor in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

A 55-year-old postmenopausal woman (G3P3) presents with involuntary urine leakage when coughing, sneezing, or exercising. She denies urgency or frequency. She has a BMI of 30. Urinalysis is normal. Post-void residual is 30 mL. What is the most appropriate initial treatment?

1. Duloxetine 40 mg twice daily
2. Midurethral sling surgery
3. Pelvic floor muscle exercises (Kegels) and behavioral modifications including weight loss
4. Oxybutynin 5 mg twice daily

Sample question 2

A 45-year-old woman, G3P3, presents with involuntary urine leakage that occurs when she coughs, sneezes, or exercises. She denies urgency, frequency, nocturia, or dysuria. A urinalysis is normal. A cough stress test performed with a comfortably full bladder demonstrates urine leakage with coughing. Which of the following is the most appropriate first-line treatment?

1. Mirabegron 25 mg orally once daily
2. Pelvic floor muscle training (Kegel exercises)
3. Oxybutynin 5 mg orally twice daily
4. Midurethral sling surgery

Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.

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