Nr 601 final exam review Latest recent & frequently
tested exam with questions and verified accurate
solution (detailed & elaborated) GRADED A+
Most common type of UI in men and women? - correct ans:Men is urgency and women is stress
,What is urge UI? - correct ans:Feeling of needing to go right away. Rush to the bathroom.
What is stress UI? - correct ans:Sneezing, coughing, laughing, pressure.
What is mixed incontinence? - correct ans:Both stress and urgency
Risk factors for UI? - correct ans:Female, obesity, dm, depression, stroke, fecal incontinence,
hysterectomy.
What is the first line therapy for most older patients with UI? - correct ans:Behavioral therapy
What does behavioral therapy include for UI? - correct ans:Weightloss, stop caffeinated beverages and
alcohol, minimize fluid intake at night, stop smoking,loop diuretics should be taken in afternoon. Bladder
trainings, kegal exercises, and prompted voiding.
Which med can be used for OAB? S/e? - correct ans:Myrbetriq; can cause high BP.
What medications can be used for urge incontinence and OAB? What are their class? - correct ans:Detrol
(tolterodine), ditropan (oxybutinin)
These are anticholinergics/antimuscarinics
Antimuscarinics and anticholinergics should be avoided in which patients?according to BEERS criteria -
correct ans:Patients with dementia or cognitive impairment
What is the gold standard treatment for women with stress incontinence? - correct ans:Surgery
What is the only evidenced based lifetsyle intervention for for moderately obese younger older women
with UI? - correct ans:Weight loss
, Treatment of UI in older persons should be be proceeded how? - correct ans:Step wise process. Stating
with addressing first comorbidities and medications, then lifestyle interventions, behavioral treatment,
pharmacological treatment, minimally invasive procedures or surgeries.
Management of UI should focus on what? - correct ans:The most bothersome factors
All patients with UI should be screened for?ex? - correct ans:Functional status and depression.
Functional impairment can be assessed by timed up and go and minicog test
Urinary frequency may reflect what ? - correct ans:High fluid intake, and or use of caffeinated drinks or
alcohol.
Acute onset of UI or the presence of Suprapubic, lower abdominal, or pelvic pain are what kind of
symptoms? What should be done? - correct ans:Red flag symptoms. For underlying neurologic or
neoplastic disease. Requires immediate referral to neuro, uro, gyno.
What is the key difference between UI in younger and older persons? - correct ans:UI may be
precipitated or worsened by outside factors of urinary tract, including meds, mobility, environment,
mentation, manual dexterity.
What is an assessment tool for UI bother and quality of life? And can be used to assess for the effect of
treatment? - correct ans:Urogenital distress index 6, min dif in score is 5/11
What kind of therapy is most efficacious for UI? - correct ans:Both behavioral and drug therapy. Than
either alone
Morbidity with UI are? - correct ans:Skin breakdown, falls. Fractures
Symptoms of UTI? - correct ans:Dysuria, frequency, urgency, hematuria
UTI is the most common infection seen in who? - correct ans:Older adults in nursing homes, or hospitals.
tested exam with questions and verified accurate
solution (detailed & elaborated) GRADED A+
Most common type of UI in men and women? - correct ans:Men is urgency and women is stress
,What is urge UI? - correct ans:Feeling of needing to go right away. Rush to the bathroom.
What is stress UI? - correct ans:Sneezing, coughing, laughing, pressure.
What is mixed incontinence? - correct ans:Both stress and urgency
Risk factors for UI? - correct ans:Female, obesity, dm, depression, stroke, fecal incontinence,
hysterectomy.
What is the first line therapy for most older patients with UI? - correct ans:Behavioral therapy
What does behavioral therapy include for UI? - correct ans:Weightloss, stop caffeinated beverages and
alcohol, minimize fluid intake at night, stop smoking,loop diuretics should be taken in afternoon. Bladder
trainings, kegal exercises, and prompted voiding.
Which med can be used for OAB? S/e? - correct ans:Myrbetriq; can cause high BP.
What medications can be used for urge incontinence and OAB? What are their class? - correct ans:Detrol
(tolterodine), ditropan (oxybutinin)
These are anticholinergics/antimuscarinics
Antimuscarinics and anticholinergics should be avoided in which patients?according to BEERS criteria -
correct ans:Patients with dementia or cognitive impairment
What is the gold standard treatment for women with stress incontinence? - correct ans:Surgery
What is the only evidenced based lifetsyle intervention for for moderately obese younger older women
with UI? - correct ans:Weight loss
, Treatment of UI in older persons should be be proceeded how? - correct ans:Step wise process. Stating
with addressing first comorbidities and medications, then lifestyle interventions, behavioral treatment,
pharmacological treatment, minimally invasive procedures or surgeries.
Management of UI should focus on what? - correct ans:The most bothersome factors
All patients with UI should be screened for?ex? - correct ans:Functional status and depression.
Functional impairment can be assessed by timed up and go and minicog test
Urinary frequency may reflect what ? - correct ans:High fluid intake, and or use of caffeinated drinks or
alcohol.
Acute onset of UI or the presence of Suprapubic, lower abdominal, or pelvic pain are what kind of
symptoms? What should be done? - correct ans:Red flag symptoms. For underlying neurologic or
neoplastic disease. Requires immediate referral to neuro, uro, gyno.
What is the key difference between UI in younger and older persons? - correct ans:UI may be
precipitated or worsened by outside factors of urinary tract, including meds, mobility, environment,
mentation, manual dexterity.
What is an assessment tool for UI bother and quality of life? And can be used to assess for the effect of
treatment? - correct ans:Urogenital distress index 6, min dif in score is 5/11
What kind of therapy is most efficacious for UI? - correct ans:Both behavioral and drug therapy. Than
either alone
Morbidity with UI are? - correct ans:Skin breakdown, falls. Fractures
Symptoms of UTI? - correct ans:Dysuria, frequency, urgency, hematuria
UTI is the most common infection seen in who? - correct ans:Older adults in nursing homes, or hospitals.
