GUIDE 2026/2027 ACCURATE QUESTIONS
WITH CORRECT DETAILED SOLUTIONS ||
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1. Urodynamics - Definition - ANSWER ✔ group of tests to evaluate
bladder/sphincter muscles as well as the ability to store and release urine.
2. Autonomic Dysreflexia - ANSWER ✔ Sudden and severe stimulation of
SNS - normally in response to spinal cord injury - causes sudden/severe
hypertension, increased intracranial pressure, urine retention, and stool
retention
3. Urodymamics - Tests - ANSWER ✔ Uroflowmetry, Post-void-residual,
Cystometry, Leak Point Pressure, Pressure flow study, Electromyography,
Video with fluoroscopy
4. Bristol stool chart - ANSWER ✔ Stool classification #1-7. Types 1 and 2
indicate constipation, Types 3 and 4 indicate ideal stools, Types 5, 6 and 7
indicate diarrhea
5. Stress Urinary Incontinence - Definition - ANSWER ✔ Leakage of urine in
response to activity - e.g. coughing or exercise - that increases the pressure
on the bladder
6. Functional Incontinence - Definition - ANSWER ✔ inability to get to the
bathroom due to factors outside the urinary system - such as pain, dementia,
inaccessibility, motor disability
7. Functional Incontinence - Reversible Factors - ANSWER ✔ Clothing
options, home setup, medications
,8. Functional Incontinence - Transient Causes - ANSWER ✔ recent surgery,
stroke
9. Functional Incontinence - Treatment - ANSWER ✔ adequate pain
management, scheduled or prompted voiding, devices for accessibility,
clothing modification
10.Overactive Bladder - Definition - ANSWER ✔ frequent urge to urinate
(due to bladder spasms, detrusor hyperactivity, or bladder wall sends urge
signals inappropriately), but no incontinence associated with urge
11.Overactive Bladder - Conservative Treatment - ANSWER ✔ Pelvic floor
exercises, bladder training/scheduled voiding, urge inhibition strategies,
fluid management, reducing bladder irritants
12.Urge Suppression Techniques - Definition - ANSWER ✔ used to suppress
urge to urinate, reduce frequency, and improve bladder tone/capacity
13.Urge Suppression Techniques - Methods - ANSWER ✔ Deep breathing,
Distraction, Quick Flick Kegels, slow movements
14.Overactive Bladder - Medications - ANSWER ✔ Anticholinergics,
Antimuscarinics, Antispasmodics (examples include Tolterodine and
oxybutinin)
15.encopresis - ANSWER ✔ a disorder characterized by repeated stool
evacuation in inappropriate places in children over the age of four
16.primary: children who never reached continence
secondary: children who reached continence for at least a year and are now
relapsed
17.sympathetic nervous system role - ANSWER ✔ *involuntary*
18.When the rectum is empty, the SNS inhibits the contraction of the rectal
wall, and contracts the internal anal sphincter (IAS) to prevent leakage
, 19.parasympathetic nervous system role - ANSWER ✔ when the rectum is
filled post mass transit, it stretches and the PNS sends information to the
CNS to coordinate bowel elimination. The rectum then contracts in
conjunction with the ENS and the IAS relaxes. Feces then moves down the
anal canal to the external anal sphincter (EAS)
20.enteric nervous system - ANSWER ✔ The intrinsic nervous system within
the bowel wall. This system responds to a variety of stimuli and generates
peristalsis
21.rectoanal inhibitory reflex - ANSWER ✔ the involuntary relaxation of the
IAS when the rectum is stretched that allows feces to move down anal canal
22.sampling reflex - ANSWER ✔ when rectal contents contact Anoderm
(receptors at distal anal canal) for differentiation
23.allows squamous epithelium below the Denate Line with sensory receptors
that differentiate between solid, liquid, gaseous rectal contents
24.anal wink - ANSWER ✔ with cotton swab, swipe at 5 and 7 o'clock on the
buttocks with the patient in the modified lithotomy position
25.a focused physical exam that assesses prostate and pelvic muscle control and
verifies function of pudendal nerve
26.bulbocavernosus reflex - ANSWER ✔ in modified lithotomy position,
squeeze penis glans to verify external anal sphincter wink or flick the clitoris
in females
27.a focused physical exam that assesses prostate and pelvic muscle control and
verifies function of pudendal nerve
28.5 factors that promote continence - ANSWER ✔ 1: colonic transit, stool
volume, and consistency
2: sensory awareness
3: sphincter competence
4: rectal compliance and capacity
5: extrinsic factors