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Which of the following APPLY to pregnancy-related increased risk for urinary tra

ID: 178394 • Letter: W

Question

Which of the following APPLY to pregnancy-related increased risk for urinary tract infection (UTI)?

A.

Compression of the ureters by the expanding uterus

B.

Progesterone-mediated reduction in smooth muscle peristalsis along the urinary tract

C.

Urine pooling in tract

D.

A & B

E.

A & C

F.

B & C

G.

A, B & C

A.

Compression of the ureters by the expanding uterus

B.

Progesterone-mediated reduction in smooth muscle peristalsis along the urinary tract

C.

Urine pooling in tract

D.

A & B

E.

A & C

F.

B & C

G.

A, B & C

Explanation / Answer

Urinary tract infections are very common during pregnancy. Option "A" is totally correct. Expanding uterus results in compression of lower part of ureter. This may further cause urinary pooling (option "C"). As a result, urine flow is not proper and is not in proper direction also; which results in UTI.

Second, during pregnancy, metabolism increases; this is done by greater release of progesterone. Excess progesterone increases BMR, but, at the same time, it results in stress incontinence; bladder control is lost; resulting in leaky, sudden urination (option "B").

So, option "G" is the correct answer.

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