PAEA Surgery End Of Rotation (EOR) Practice Exam

What is urinary frequency without nocturia typically related to?

1. Dehydration

2. Anxiety

3. CHF

4. Prostate enlargement

The correct answer is: Anxiety

Urinary frequency without nocturia is commonly associated with anxiety, as the condition can lead to increased sympathetic nervous system activity, which influences bladder function. In individuals experiencing anxiety, the body's fight-or-flight response can cause heightened awareness of bodily sensations, including the need to urinate more frequently. This is often termed "nervous bladder," where psychological factors can lead to an increased urge to urinate, without the true need for increased urine production. In contrast, the other options, while they may involve urinary symptoms, do not specifically align with the characteristic of increased daytime urination without night-time awakenings. Dehydration typically results in concentrated urine, leading to less frequent urination rather than increased frequency. Congestive heart failure (CHF) can cause nocturia due to fluid redistribution when lying down, thus not aligning with the absence of nocturia. Prostate enlargement, or benign prostatic hyperplasia (BPH), usually causes both increased daytime frequency and nocturia due to obstruction of the urinary tract, making it less likely to be the sole factor causing urinary frequency without nocturia.