NR 601 FINAL EXAM
NR 601 FINAL EXAM REVIEW QUESTIONS AND
ANSWERS GRADED A+ LATEST UPDATE.
Most common type of UI in men and women? ANS >> Men is urgency
and women are stress
What is urge UI? ANS >> Feeling of needing to go right away. Rush to
the bathroom.
What is stress UI? ANS >> Sneezing, coughing, laughing, pressure.
What is mixed incontinence? ANS >> Both stress and urgency
Risk factors for UI? ANS >> Female, obesity, dm, depression, stroke,
faecal incontinence, hysterectomy.
,NR 601 FINAL EXAM
What is the first line therapy for most older patients with UI? ANS >>
Behavioural therapy
What does behavioural therapy include for UI? ANS >> Weightless,
stop caffeinated beverages and alcohol, minimize fluid intake at night,
stop smoking, loop diuretics should be taken in afternoon. Bladder
trainings, legal exercises, and prompted voiding.
Which med can be used for OAB? S/e? ANS >> Meretrix; can cause
high BP.
What medications can be used for urge incontinence and OAB? What
are their class? ANS >> Detrol (tolterodine), Ditropan (oxybutynin)
These are anticholinergics/antimuscarinics
Antimuscarinics and anticholinergics should be avoided in which
patients? According to BEERS criteria ANS >> Patients with dementia or
cognitive impairment
What is the gold standard treatment for women with stress
incontinence? ANS >> Surgery
What is the only evidenced based lifestyle intervention for for
moderately obese younger older women with UI? ANS >> Weight loss
,NR 601 FINAL EXAM
Treatment of UI in older persons should be be proceeded how? ANS
>> Step wise process. Stating with addressing first comorbidities and
medications, then lifestyle interventions, behavioural treatment,
pharmacological treatment, minimally invasive procedures or surgeries.
Management of UI should focus on what? ANS >> The most
bothersome factors
All patients with UI should be screened forex? ANS >> Functional
status and depression.
Functional impairment can be assessed by timed up and go and
minicom test
Urinary frequency may reflect what? 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? ANS >>
Red flag symptoms. For underlying neurologic or neoplastic disease.
Requires immediate referral to neuro, udo, gyno.
What is the key difference between UI in younger and older persons?
ANS >> UI may be precipitated or worsened by outside factors of
, NR 601 FINAL EXAM
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? ANS >> Urogenital distress
index 6, min dive in score is 5/11
What kind of therapy is most efficacious for UI? ANS >> Both
behavioural and drug therapy. Then either alone
Morbidity with UI is? ANS >> Skin breakdown, falls. Fractures
Symptoms of UTI? ANS >> Dysuria, frequency, urgency, haematuria
UTI is the most common infection seen in who? ANS >> Older adults in
nursing homes, or hospitals.
Asymptomatic bacteriuria increases with? ANS >> Age and debility
For older adults, treatment should not be initiated only based on
symptoms... why? ANS >> Common symptoms can mimic other
diseases
NR 601 FINAL EXAM REVIEW QUESTIONS AND
ANSWERS GRADED A+ LATEST UPDATE.
Most common type of UI in men and women? ANS >> Men is urgency
and women are stress
What is urge UI? ANS >> Feeling of needing to go right away. Rush to
the bathroom.
What is stress UI? ANS >> Sneezing, coughing, laughing, pressure.
What is mixed incontinence? ANS >> Both stress and urgency
Risk factors for UI? ANS >> Female, obesity, dm, depression, stroke,
faecal incontinence, hysterectomy.
,NR 601 FINAL EXAM
What is the first line therapy for most older patients with UI? ANS >>
Behavioural therapy
What does behavioural therapy include for UI? ANS >> Weightless,
stop caffeinated beverages and alcohol, minimize fluid intake at night,
stop smoking, loop diuretics should be taken in afternoon. Bladder
trainings, legal exercises, and prompted voiding.
Which med can be used for OAB? S/e? ANS >> Meretrix; can cause
high BP.
What medications can be used for urge incontinence and OAB? What
are their class? ANS >> Detrol (tolterodine), Ditropan (oxybutynin)
These are anticholinergics/antimuscarinics
Antimuscarinics and anticholinergics should be avoided in which
patients? According to BEERS criteria ANS >> Patients with dementia or
cognitive impairment
What is the gold standard treatment for women with stress
incontinence? ANS >> Surgery
What is the only evidenced based lifestyle intervention for for
moderately obese younger older women with UI? ANS >> Weight loss
,NR 601 FINAL EXAM
Treatment of UI in older persons should be be proceeded how? ANS
>> Step wise process. Stating with addressing first comorbidities and
medications, then lifestyle interventions, behavioural treatment,
pharmacological treatment, minimally invasive procedures or surgeries.
Management of UI should focus on what? ANS >> The most
bothersome factors
All patients with UI should be screened forex? ANS >> Functional
status and depression.
Functional impairment can be assessed by timed up and go and
minicom test
Urinary frequency may reflect what? 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? ANS >>
Red flag symptoms. For underlying neurologic or neoplastic disease.
Requires immediate referral to neuro, udo, gyno.
What is the key difference between UI in younger and older persons?
ANS >> UI may be precipitated or worsened by outside factors of
, NR 601 FINAL EXAM
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? ANS >> Urogenital distress
index 6, min dive in score is 5/11
What kind of therapy is most efficacious for UI? ANS >> Both
behavioural and drug therapy. Then either alone
Morbidity with UI is? ANS >> Skin breakdown, falls. Fractures
Symptoms of UTI? ANS >> Dysuria, frequency, urgency, haematuria
UTI is the most common infection seen in who? ANS >> Older adults in
nursing homes, or hospitals.
Asymptomatic bacteriuria increases with? ANS >> Age and debility
For older adults, treatment should not be initiated only based on
symptoms... why? ANS >> Common symptoms can mimic other
diseases
