Question..............2 - psychmledr

[ArchivalUser]

A 74-year-old male presents to the office with trouble urinating for 1 week. The force of the urinary stream is reduced, but there is no difficulty starting the stream. There is no pain. Which of the following is the most likely problem?

A. Decreased detrusor contractility
B. Detrusor instability
C. Detrusor failure
D. Acute urinary obstruction
E. Chronic urinary obstruction

[ArchivalUser]

AA

[ArchivalUser]

BBb

[ArchivalUser]

AA

[ArchivalUser]

A = the force is reduced meaning the bladdar muscle detrusor isn't able to contract properly... hope i'm right

[ArchivalUser]

Correct answer is "A"

Decreased contractility is implied by the decreased force of the stream.

Instability alone has only frequency and urgency.

Failure implies an inability to urinate due to muscle failure.

With acute obstruction, the patient cannot void, and there is significant pain.

With chronic urinary obstruction, starting the stream is also a problem.

Thank you