Audio Qbank – HY USMLE Q #378 – Obstetrics & Gynecology

A 34-year-old woman, G3P3, comes to the physician because of a 3-month history of recurrent episodes of urinary incontinence. The past week, these episodes have occurred 6 to 10 times daily. She frequently has an unpredictable and sudden urge to void and often does not make it to the bathroom on time. She sometimes feels the need to void when sticking the key in the front door of her house or in her car door. She also reports decreased visual acuity in her left eye and reduced color vision. Which of the following is the most likely explanation for these findings?

Conversion disorder
Detrusor hypersensitivity
Large residual volume with overflow
Somatization disorder
Urethral atrophy with diminished urethrovesical angle