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Nr 601 final exam review

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Nr 601 final exam review

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Nr 601 final exam review
Study online at https://quizlet.com/_dvucym

1. Most common type Men is urgency and women is stress
of UI in men and
women?

2. What is urge UI? Feeling of needing to go right away. Rush to the bathroom.

3. What is stress UI? Sneezing, coughing, laughing, pressure.

4. What is mixed inconti- Both stress and urgency
nence?

5. Risk factors for UI? Female, obesity, dm, depression, stroke, fecal incontinence, hysterectomy.

6. What is the first line Behavioral therapy
therapy for most older
patients with UI?

7. What does behavioral Weightloss, stop caffeinated beverages and alcohol, minimize fluid intake
therapy include for UI? at night, stop smoking,loop diuretics should be taken in afternoon. Blad-
der trainings, kegal exercises, and prompted voiding.

8. Which med can be Myrbetriq; can cause high BP.
used for OAB? S/e?

9. What medications can Detrol (tolterodine), ditropan (oxybutinin)
be used for urge in- These are anticholinergics/antimuscarinics
continence and OAB?
What are their class?

10. Antimuscarinics and Patients with dementia or cognitive impairment
anticholinergics
should be avoided in
which



, Nr 601 final exam review
Study online at https://quizlet.com/_dvucym

patients?according to
BEERS criteria

11. What is the gold stan- Surgery
dard treatment for
women with stress in-
continence?

12. What is the only ev- Weight loss
idenced based lifet-
syle intervention for
for moderately obese
younger older women
with UI?

13. Treatment of UI in old- Step wise process. Stating with addressing first comorbidities and med-
er persons should be ications, then lifestyle interventions, behavioral treatment, pharmacolog-
be proceeded how? ical treatment, minimally invasive procedures or surgeries.

14. Management of UI The most bothersome factors
should focus on what?

15. All patients with UI Functional status and depression.
should be screened Functional impairment can be assessed by timed up and go and minicog
for?ex? test

16. Urinary frequency High fluid intake, and or use of caffeinated drinks or alcohol.
may reflect what ?

17. Acute onset of UI or Red flag symptoms. For underlying neurologic or neoplastic disease.
the presence of Supra- Requires immediate referral to neuro, uro, gyno.
pubic, lower abdomi-
nal, or pelvic pain are



, Nr 601 final exam review
Study online at https://quizlet.com/_dvucym

what kind of symp-
toms? What should be
done?

18. What is the key dif- UI may be precipitated or worsened by outside factors of urinary tract,
ference between UI including meds, mobility, environment, mentation, manual dexterity.
in younger and older
persons?

19. What is an assessment Urogenital distress index 6, min dif in score is 5/11
tool for UI bother and
quality of life? And
can be used to assess
for the effect of treat-
ment?

20. What kind of therapy Both behavioral and drug therapy. Than either alone
is most efficacious for
UI?

21. Morbidity with UI are? Skin breakdown, falls. Fractures

22. Symptoms of UTI? Dysuria, frequency, urgency, hematuria

23. UTI is the most com- Older adults in nursing homes, or hospitals.
mon infection seen in
who?

24. Asymptomatic bac- Age and debility
teriuria increases
with?

25. For older adults, treat- Common symptoms can mimic other diseases
ment should not be


, Nr 601 final exam review
Study online at https://quizlet.com/_dvucym

initiated only based on
symptoms... why?

26. Post menopausal Low back pain, nocturia, incontinence, and constipation.
women may also com-
plain of?

27. Why is bacteruria and There are conditions or diseases that lead to alterations in normal flora,
UTI so common in old- urinary stasis and obstruction as we age.
er adults? Shifts in perineal flora and ph bc if estrogen deficiency occurs.
Urinary stasis and obstruction can occur due to normal aging, which can
lead to increased UTI.
Urethra orifice can also be contaminated.

28. What is the UA results Positive for nitrates and leukocytes + symptoms present
for UTI?

29. What are common Change in mental Status and characteristics of urine
signs and Symptoms
of UTI in LTC?

30. What is not a useful in- Presence of pyuria >10 WBC
dicator for UTI?

31. What other diseases Nephrolithiasis, IBD, diverticulitis, intro abdominal abscess
can show presence of
pyuria ( >10)?

32. Treatment of dirty Not beneficial
urine in the older
adult population with
asymptomatic bacte-
ria is?

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