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* CMS 4 Ob/gyn
 #842360  
  cs042016 - 06/30/17 18:01
 
  42 yr old woman comes to physician because of 3 mo h/o urinary urgency & frequency & occasional incontinence & 2 mo h/o numbness below her waist. She has had to get up at least 3 times to void. She had not had fever, pain w/ urination or cloudy urine. She has relapsing-remitting multiple sclerosis: symptoms have included double vision 10 yrs ago & rt leg weakness 3 yrs ago. Sensation to vibration is decreased over both feet. DTR 3+ at the knees. U/A within normal limits. Her post void resudial vol is 45 ml. which of the following is most likely cause of urinary findings?
A Detrusor hyperreflexia
B Detrusor hypotonia
c External sphincter hyperactivity
D external sphincter incompetence
E overflow incontinence secondary to bladder outlet obstruction
 
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* Re:CMS 4 Ob/gyn
#3342430
  sweety_usmle - 07/01/17 15:13
 
  Less than 50ml is normal residual volume. If residual volume is normal then the cause is Motor type aka Hypertonic bladder.

Please add/correct/suggest me.
Thank you for the question
 
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* Re:CMS 4 Ob/gyn
#3342556
  parmesh495 - 07/03/17 12:47
 
  i go with option C  
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* Re:CMS 4 Ob/gyn
#3342920
  drerum - 07/08/17 16:08
 
  It's option A.
Please leave correct answer
 
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* Re:CMS 4 Ob/gyn
#3343208
  mas15 - 07/12/17 15:40
 
  Ans is A. As the pt has MS.  
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* Re:CMS 4 Ob/gyn
#3343332
  parmesh495 - 07/14/17 13:13
 
  i think its A  
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