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Retired NBME 27 Answers

nbme27/Block 3/Question#44 (reveal difficulty score)
A 55-year-old woman comes to the physician ...
Uninhibited bladder contractions ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—shak360(20)
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Urinary incontinence drugs

Muscarinic antagonists (oxybutynin) downregulate the M3 receptor leading to relaxation of detrusor smooth muscle and decreased detrusor overactivity.

In general, oxybutynin, solifenacin, and tolterodine reduce bladder spams and urge incontiencen.

Sympathomimetics (mirabegron) upregulate the รŸ3 receptor and relax the detrusor smooth muscle and increase bladder capacity.

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