National Board of Chiropractic Examiners (NBCE) Practice Test 2025 – Comprehensive All-in-One Guide for Exam Success

In this scenario, the condition of concern for a multiparous female who experiences urination upon coughing or sneezing is stress urinary incontinence. This condition is characterized by involuntary leakage of urine during activities that increase abdominal pressure, such as laughing, coughing, or sneezing.

Stress urinary incontinence occurs when the pelvic floor muscles and connective tissues become weakened, often a result of childbirth and multiple pregnancies, which is especially common in multiparous women. The weakened support can lead to a loss of bladder control when these physical stresses increase intra-abdominal pressure.

While uterine prolapse, pelvic inflammatory disease, and endometriosis can affect women and lead to various symptoms, they do not specifically align with the symptom of involuntary urination triggered by physical activity. Uterine prolapse involves a descent of the uterus into the vaginal canal, but it may lead to different symptoms such as pelvic pressure or bulging rather than urinary incontinence. Thus, the primary focus for this scenario should be on stress urinary incontinence, as it directly correlates with the described symptoms of urinary leakage associated with physical exertion.