NR 601 FINAL EXAM
NR 601 FINAL EXAM QUESTIONS AND ANSWERS
GRADED A+ LATEST UPDATE.
What are 3 screenings to consider for patients of the LQBTQ+
community? ANS >> Depression
Anal cancer (HPV swab)
HIV screening 15-65 you
People in the LGBTQ+ community have higher rates of tobacco use.
What screenings should be considered for this population? ANS >>
Lung cancer screening CT scan (50-80yo, 20pky, quite last 15y)
AAA screening (60-75yo who ever smoked)
,NR 601 FINAL EXAM
What may make WSW higher risk for breast cancer? ANS >>
Nulliparity (never given birth)
Alcohol use
Tobacco use
Obesity
Anal paps are recommended for HIV+ women with these risk factors.
A. Hex receptive anal intercourse
B. Abnormal pap
C. Hex genital warts
D. All the above ANS >> D. All the above
What is the cause of each type of urinary incontinence (urge, stress,
mixed, overflow)? ANS >> Urge - overactive detrusor
Stress - inadequate sphincter
Mixed - urge and stress
Overflow - impaired emptying (uncommon in OA)
Treatment of urge incontinence (behavioural, medication) ANS >>
Behavioural: bladder training by voiding every 2 hours then increasing
to every 4 hours, Kegels 8-12x TID x3-4 mo.
,NR 601 FINAL EXAM
Medication:
Oxybutynin IR 3-4x/day or ER daily (SE: Anticholinergic)
Mirabegron daily (SE: HTN)
Treatment of stress incontinence (behavioural, medication, surgery)
ANS >> Behavioural: same as urge w/ scheduled voids and Kegels
Medication: none FDA approved
Surgery: gold-standard
Procedures for stress incontinence ANS >> > Behavioural
Sling
Botulin toxin injection - risk for retention
sacral nerve modulation
percutaneous tibial nerve stimulation
When should you consult urology for incontinence? ANS >> Urge - fails
behavioural changes and medication
Stress - fails behavioural changes, cx for surgery
Inadequate response to lifestyle changes (weight loss)
Acute incontinence with pain
Lifestyle changes that can help incontinence ANS >> Weight loss #1
, NR 601 FINAL EXAM
Decrease PM fluids
Avoid caffeine & alcohol
What medical conditions are associated with incontinence? ANS >>
cardiovascular disease, like heart failure (fluid overload)
GI disease, like constipation (functional problem)
Metabolic disease, like diabetes (polyuria)
Mobility impairment (functional incontinence)
Neuro disease, like MS or SCI (loss of muscle control), delirium or
dementia (forget)
What medications are associated with incontinence? ANS >> Alcohol
ACE inhibitors (cough -> stress I)
Anticholinergics (constipation -> incontinence)
CCB (pedal enema -> polyuria)
Estrogen (worsens stress I)
Diuretics (polyuria)
What is the best first treatment for urinary incontinence?
A. Timed voiding
B. Medication
NR 601 FINAL EXAM QUESTIONS AND ANSWERS
GRADED A+ LATEST UPDATE.
What are 3 screenings to consider for patients of the LQBTQ+
community? ANS >> Depression
Anal cancer (HPV swab)
HIV screening 15-65 you
People in the LGBTQ+ community have higher rates of tobacco use.
What screenings should be considered for this population? ANS >>
Lung cancer screening CT scan (50-80yo, 20pky, quite last 15y)
AAA screening (60-75yo who ever smoked)
,NR 601 FINAL EXAM
What may make WSW higher risk for breast cancer? ANS >>
Nulliparity (never given birth)
Alcohol use
Tobacco use
Obesity
Anal paps are recommended for HIV+ women with these risk factors.
A. Hex receptive anal intercourse
B. Abnormal pap
C. Hex genital warts
D. All the above ANS >> D. All the above
What is the cause of each type of urinary incontinence (urge, stress,
mixed, overflow)? ANS >> Urge - overactive detrusor
Stress - inadequate sphincter
Mixed - urge and stress
Overflow - impaired emptying (uncommon in OA)
Treatment of urge incontinence (behavioural, medication) ANS >>
Behavioural: bladder training by voiding every 2 hours then increasing
to every 4 hours, Kegels 8-12x TID x3-4 mo.
,NR 601 FINAL EXAM
Medication:
Oxybutynin IR 3-4x/day or ER daily (SE: Anticholinergic)
Mirabegron daily (SE: HTN)
Treatment of stress incontinence (behavioural, medication, surgery)
ANS >> Behavioural: same as urge w/ scheduled voids and Kegels
Medication: none FDA approved
Surgery: gold-standard
Procedures for stress incontinence ANS >> > Behavioural
Sling
Botulin toxin injection - risk for retention
sacral nerve modulation
percutaneous tibial nerve stimulation
When should you consult urology for incontinence? ANS >> Urge - fails
behavioural changes and medication
Stress - fails behavioural changes, cx for surgery
Inadequate response to lifestyle changes (weight loss)
Acute incontinence with pain
Lifestyle changes that can help incontinence ANS >> Weight loss #1
, NR 601 FINAL EXAM
Decrease PM fluids
Avoid caffeine & alcohol
What medical conditions are associated with incontinence? ANS >>
cardiovascular disease, like heart failure (fluid overload)
GI disease, like constipation (functional problem)
Metabolic disease, like diabetes (polyuria)
Mobility impairment (functional incontinence)
Neuro disease, like MS or SCI (loss of muscle control), delirium or
dementia (forget)
What medications are associated with incontinence? ANS >> Alcohol
ACE inhibitors (cough -> stress I)
Anticholinergics (constipation -> incontinence)
CCB (pedal enema -> polyuria)
Estrogen (worsens stress I)
Diuretics (polyuria)
What is the best first treatment for urinary incontinence?
A. Timed voiding
B. Medication
