Professional and Linguistic Assessments Board (PLAB) Practice Exam

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Which lifestyle modification can benefit individuals experiencing urge incontinence?

  1. Increase liquid intake

  2. Behavioral therapy

  3. Bladder drill training

  4. Pelvic surgery

The correct answer is: Bladder drill training

Bladder drill training is a beneficial lifestyle modification for individuals experiencing urge incontinence as it helps to gradually extend the time between urges to urinate and actually using the bathroom. This approach aims to train the bladder and improve its capacity, thereby diminishing the frequency of the urgency sensation and helping to establish a more predictable voiding schedule. By practicing this technique, individuals can potentially regain control over their urinary function and reduce episodes of incontinence. While behavioral therapy can also play a significant role in managing incontinence, it encompasses a broader range of strategies, including education and psychological support, rather than being a specific structured program like bladder drill training. Increasing liquid intake is generally not beneficial for urge incontinence and may exacerbate symptoms. Pelvic surgery may be considered in severe cases but is not a lifestyle modification; it involves more invasive procedures that are typically pursued when conservative methods have failed.