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WEB WOC Continence Care EXAM STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED SOLUTIONS || 100% GUARANTEED PASS NEWEST VERSION

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WEB WOC Continence Care EXAM STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED SOLUTIONS || 100% GUARANTEED PASS NEWEST VERSION 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 29. 7 goals of controlled voiding - ANSWER 1: reduce bladder spasms and exposure to bladder irritants 2: optimize sphincter function and coaptation 3: optimize pelvic floor muscle support and function 4: eliminate/reduce bladder outlet obstruction 5: restore bladder tone and contractility 6: modify environment to facilitate safe/efficient response to urge 7: facilitate timely and complete emptying 30. 1: reduce bladder spasms and exposure to bladder irritants - ANSWER *eliminate UTI *limit caffeine, alcohol, carbonated beverages, spicy foods *do not overly restrict fluid intake *urge suppression training *bladder drill training *anticholinergics, antimuscarinics, beta-3 adrenergic agonists, topical estrogen *botox *neuromodulation (sacral or tibial) *bladder augmentation 31. 2: optimize sphincter function and coaptation - ANSWER *bowel management (clear impaction and prevent constipation) *penile urethral occlusive device *topical estrogen *periurethral bulking injections *artificial urinary sphincter 32. 3: optimize pelvic floor muscle support and function - ANSWER *pelvic floor muscle training *biofeedback assisted PFM training *KNACK *weight management *weighted vaginal cones *vaginal pessary *electrical stimulation *surgery (sling procedure) 33. electrical stimulation - ANSWER Stimulate pudendal and sympathetic nerve fibers that results in reflex activation and contraction of both smooth and striated muscles in the urethra and pelvic floor muscles & reflex inhibition of the bladder SUI: 50-100 hz UUI: 10-20 hz

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WEB WOC Continence Care EXAM STUDY
GUIDE 2026/2027 ACCURATE QUESTIONS
WITH CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>


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

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