Approach to urinary incontinence (GYN) Quiz: Ace Your Exams
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A 65-year-old woman presents to the gynecology office with involuntary urine leakage over the past 6 months. The patient reports regular dribbling of urine, a sensation of incomplete bladder emptying, nocturia, urinary frequency, and a weak urinary stream. Medical history includes type 2 diabetes mellitus with mild peripheral neuropathy, obesity, and a stroke 3 years ago. Current medications include metformin and aspirin. There is no history of pelvic surgery. The patient does not use tobacco and has no relevant family history. Temperature is 36.8°C (98.2°F), heart rate is 78/min, respirations are 16/min, and blood pressure is 130/80 mmHg. Physical examination reveals diminished lower extremity reflexes and reduced anal sphincter tone, with no evidence of pelvic organ prolapse. A urinalysis is negative for nitrites, leukocyte esterase, and blood. Which of the following tests is most likely to confirm the suspected diagnosis?
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