Chapter 36 Urinary Incontinence
Multiple Choice
Identify the choice that best completes the statement or answers the question.
When performing a dipstick test on a patient’s urine sample, a positive leukocyte esterase and nitrite is indicative of:
1.
A. Microscopic hematuria
B. Urinary tract infection
C. Calculi in the urine
D. Possible bladder tumor
An intravenous pyelogram should not be performed if serum creatinine is:
2.
A. Less than 1.5
B. Greater than 1.0
C. Greater than 1.6
D. Less than 1.0
Your 55-year-old male patient presents to the emergency department with complaints of sudden development of severe
3.
right-sided, colicky lower abdominal pain. He cannot sit still on the examining table. The patient has previously been in good health. On
physical examination, there are no signs of peritoneal inflammation. A urine sample reveals hematuria and crystalluria. Which is the next
diagnostic test that should be done immediately?
A. Ultrasound of the abdomen
B. Abdominal x-ray
C. Digital rectal examination
D. Spiral CT scan
The most common complication of an untreated urinary obstruction due to a ureteral calculus is:
4.
A. Hydronephrosis
B. Renal artery stenosis
C. Ureteral rupture
D. Kidney mass
A 43-year-old male patient complains of right-sided abdominal and pain in the back in the right costovertebral angle
5.
region, fever, chills, dysuria, and nausea. On physical examination, there is 102 degree fever, tachycardia, and right costovertebral angle
tenderness to percussion. The most likely condition is:
A. Lower urinary tract infection
B. Pyelonephritis
C. Nephrolithiasis
D. Hydronephrosis
On a physical examination for employment, a 45-year-old male shows no significant findings and takes no medications.
6.
Past medical history and surgery are unremarkable. On urinalysis, hematuria is present. The urinalysis is repeated on another day and still
reveals microscopic hematuria. It is important to recognize that painless hematuria can be diagnostic of:
A. Urinary tract infection
B. Bladder cancer
C. Nephrolithiasis
D. Pyelonephritis
On DRE, you note that a 45-year-old patient has a firm, smooth, non-tender but asymmetrically shaped prostate. The
7.
patient has no symptoms and has a normal urinalysis. The patient’s PSA is within normal limits for the patient’s age. The
clinician should:
A. Refer the patient for transrectal ultrasound guided prostate biopsy
B. Obtain an abdominal x-ray of kidneys, ureter, and bladder
C. Recognize this as a normal finding that requires periodic follow-up
D. Obtain urine culture and sensitivity for prostatitis
Your 77-year-old patient complains of frequent urination, hesitation in getting the stream started, and nocturnal
8.
frequency of urination that is bothersome. On DRE, there is an enlarged, firm, non-tender, smooth prostate. The clinician should recognize these
as symptoms of:
A. Prostatitis
B. Prostate cancer
Downloaded by Ce Co ()
, C. Urethritis
D. Benign prostatic hyperplasia
Your 66-year-old patient complains of frequency of urination and hesitancy of the urine stream. On DRE, there is a
9.
hard, nodular, enlarged, non-tender prostate. The clinician should recognize these as symptoms of:
A. Prostatitis
B. Prostate cancer
C. Urethritis
D. Benign prostatic hyperplasia
A 27-year-old male comes in to the clinic for symptoms of dysuria, urinary frequency, as well as urgency and perineal
10.
pain. Transrectal palpation of the prostate reveals a very tender, boggy, swollen prostate. The clinician should recognize these as signs of:
A. Prostatitis
B. Prostate cancer
C. Urethritis
D. Benign prostatic hyperplasia
A 65-year-old male patient complains of frequency, urgency, hesitancy, and weak urine stream. Physical examination
11.
is unremarkable except DRE reveals an enlarged, firm, non-tender prostate gland. Urine culture reveals 100 bacteria CFU/mL. The clinician
should suspect:
A. Lower urinary tract infection due to benign prostatic hyperplasia
B. Bacteriuria due to prostatitis
C. Obstructive uropathy due to prostate cancer
D. Upper urinary tract infection due to benign prostatic hyperplasia
An important sign that indicates nerve compression at the cauda equina section of the spinal cord is:
12.
A. Urinary incontinence
B. Urinary retention
C. Bladder spasms
D. All of the above
What it the normal capacity of the urinary bladder?
13. A. 700 mL
B. 400 mL
C. 200 mL
D. 100 mL
14.. Which of the following disorders can cause urinary incontinence?
4
A. Cystocele
B. Overactive bladder
C. Uterine prolapse
D. All of the above
A major reason for the atrophic changes that occur in the pelvic floor muscles of the elderly woman is:
15.
A. Diminished levels of estrogen
B. Increased levels of testosterone
C. Autonomic neuropathy
D. Decreased glycogen in the vagina
Chapter 34. Urinary Incontinence
Answer Section
MULTIPLE CHOICE
1. ANS: B
With urinary tract infection, urine dipstick will show positive leukocyte esterase, positive nitrite, and greater than 3 to 5 white blood cells per
high-power field.
Downloaded by Ce Co ()
Multiple Choice
Identify the choice that best completes the statement or answers the question.
When performing a dipstick test on a patient’s urine sample, a positive leukocyte esterase and nitrite is indicative of:
1.
A. Microscopic hematuria
B. Urinary tract infection
C. Calculi in the urine
D. Possible bladder tumor
An intravenous pyelogram should not be performed if serum creatinine is:
2.
A. Less than 1.5
B. Greater than 1.0
C. Greater than 1.6
D. Less than 1.0
Your 55-year-old male patient presents to the emergency department with complaints of sudden development of severe
3.
right-sided, colicky lower abdominal pain. He cannot sit still on the examining table. The patient has previously been in good health. On
physical examination, there are no signs of peritoneal inflammation. A urine sample reveals hematuria and crystalluria. Which is the next
diagnostic test that should be done immediately?
A. Ultrasound of the abdomen
B. Abdominal x-ray
C. Digital rectal examination
D. Spiral CT scan
The most common complication of an untreated urinary obstruction due to a ureteral calculus is:
4.
A. Hydronephrosis
B. Renal artery stenosis
C. Ureteral rupture
D. Kidney mass
A 43-year-old male patient complains of right-sided abdominal and pain in the back in the right costovertebral angle
5.
region, fever, chills, dysuria, and nausea. On physical examination, there is 102 degree fever, tachycardia, and right costovertebral angle
tenderness to percussion. The most likely condition is:
A. Lower urinary tract infection
B. Pyelonephritis
C. Nephrolithiasis
D. Hydronephrosis
On a physical examination for employment, a 45-year-old male shows no significant findings and takes no medications.
6.
Past medical history and surgery are unremarkable. On urinalysis, hematuria is present. The urinalysis is repeated on another day and still
reveals microscopic hematuria. It is important to recognize that painless hematuria can be diagnostic of:
A. Urinary tract infection
B. Bladder cancer
C. Nephrolithiasis
D. Pyelonephritis
On DRE, you note that a 45-year-old patient has a firm, smooth, non-tender but asymmetrically shaped prostate. The
7.
patient has no symptoms and has a normal urinalysis. The patient’s PSA is within normal limits for the patient’s age. The
clinician should:
A. Refer the patient for transrectal ultrasound guided prostate biopsy
B. Obtain an abdominal x-ray of kidneys, ureter, and bladder
C. Recognize this as a normal finding that requires periodic follow-up
D. Obtain urine culture and sensitivity for prostatitis
Your 77-year-old patient complains of frequent urination, hesitation in getting the stream started, and nocturnal
8.
frequency of urination that is bothersome. On DRE, there is an enlarged, firm, non-tender, smooth prostate. The clinician should recognize these
as symptoms of:
A. Prostatitis
B. Prostate cancer
Downloaded by Ce Co ()
, C. Urethritis
D. Benign prostatic hyperplasia
Your 66-year-old patient complains of frequency of urination and hesitancy of the urine stream. On DRE, there is a
9.
hard, nodular, enlarged, non-tender prostate. The clinician should recognize these as symptoms of:
A. Prostatitis
B. Prostate cancer
C. Urethritis
D. Benign prostatic hyperplasia
A 27-year-old male comes in to the clinic for symptoms of dysuria, urinary frequency, as well as urgency and perineal
10.
pain. Transrectal palpation of the prostate reveals a very tender, boggy, swollen prostate. The clinician should recognize these as signs of:
A. Prostatitis
B. Prostate cancer
C. Urethritis
D. Benign prostatic hyperplasia
A 65-year-old male patient complains of frequency, urgency, hesitancy, and weak urine stream. Physical examination
11.
is unremarkable except DRE reveals an enlarged, firm, non-tender prostate gland. Urine culture reveals 100 bacteria CFU/mL. The clinician
should suspect:
A. Lower urinary tract infection due to benign prostatic hyperplasia
B. Bacteriuria due to prostatitis
C. Obstructive uropathy due to prostate cancer
D. Upper urinary tract infection due to benign prostatic hyperplasia
An important sign that indicates nerve compression at the cauda equina section of the spinal cord is:
12.
A. Urinary incontinence
B. Urinary retention
C. Bladder spasms
D. All of the above
What it the normal capacity of the urinary bladder?
13. A. 700 mL
B. 400 mL
C. 200 mL
D. 100 mL
14.. Which of the following disorders can cause urinary incontinence?
4
A. Cystocele
B. Overactive bladder
C. Uterine prolapse
D. All of the above
A major reason for the atrophic changes that occur in the pelvic floor muscles of the elderly woman is:
15.
A. Diminished levels of estrogen
B. Increased levels of testosterone
C. Autonomic neuropathy
D. Decreased glycogen in the vagina
Chapter 34. Urinary Incontinence
Answer Section
MULTIPLE CHOICE
1. ANS: B
With urinary tract infection, urine dipstick will show positive leukocyte esterase, positive nitrite, and greater than 3 to 5 white blood cells per
high-power field.
Downloaded by Ce Co ()
