Urinary Incontinence: ABFM practice questions

5 board-style questions on urinary incontinence 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

An 80-year-old woman with mild Alzheimer dementia has urgency urinary incontinence that persists after bladder training. Her daughter asks about medication. She takes donepezil 10 mg daily. Which pharmacologic option is most appropriate?

  1. Oxybutynin immediate-release, titrated to effect
  2. Tolterodine extended-release at standard dosing
  3. Mirabegron once daily after blood pressure check
  4. Trospium twice daily taken on an empty stomach

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

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