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q.__________? - sarim - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 1 (https://www.usmleforum.com/forumdisplay.php?fid=2) +--- Thread: q.__________? - sarim (/showthread.php?tid=793076) |
q.__________? - sarim - ArchivalUser - 11-09-2014 NBME (CK) A 72 yo man is brought to the physician by his wife because of a 6 month hx of difficulty walking, cognitive decline, and urinary incontinence. He has had dysuria or nocturia. His wife says that his short-term memory is decreased and he has had intermittent confusion. On exam, he has a broad-based, short-stepped gait with some reduction of step height. He is oriented to person and place but not to time. He learns four words with some difficulty and recalls zero after 3 min. WHich of the following is the most likely explanation for the patient's urinary incontinence? A. Bladder neck dyssynergia B. Chronic bladder inflammation C. Detrusor-sphincter dyssynergia D. Failure of bladder neck closure E. Failure to inhibit the voiding reflex 0 - ArchivalUser - 11-09-2014 eee 0 - ArchivalUser - 11-09-2014 NPH E 0 - ArchivalUser - 11-09-2014 B? 0 - ArchivalUser - 11-09-2014 Pls hln, what's NPH? 0 - ArchivalUser - 11-09-2014 normal pressure hydrocephalus- NPH 0 - ArchivalUser - 11-09-2014 E ..normal pr. hydrocephalus |