NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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Which of the following is a second line drug treatment for OAB?

  1. Nerve stimulation

  2. Surgical treatment

  3. Anticholinergics

  4. Botox injection

The correct answer is: Botox injection

Botox injections are used as a second line treatment for Overactive Bladder (OAB). The other options listed are not considered second line treatments as they are typically used as first line treatments or for more severe cases. Nerve stimulation is often used as a first line treatment for OAB, however, it may be considered a second line treatment if initial therapies are not successful. Surgical treatment is usually reserved for severe cases of OAB and is not commonly used as a second line treatment. Anticholinergics are a common first line treatment for OAB, but they are not considered second line treatments as they can have significant side effects. Therefore, the correct answer is D Botox injection.