WEB WOC CONTINENCE EXAM WITH
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2025 – 2026
s/s that warrant referral - ANSWERS-*acute urinary
retention
*new neurological s/s
*hematuria
*pain
*recurrent UTI
*pediatric UTI
7 goals of controlled voiding - ANSWERS-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
1: reduce bladder spasms and exposure to bladder irritants -
ANSWERS-*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
2: optimize sphincter function and coaptation - ANSWERS-
*bowel management (clear impaction and prevent
constipation)
*penile urethral occlusive device
*topical estrogen
*periurethral bulking injections
,*artificial urinary sphincter
rectoanal inhibitory reflex - ANSWERS-the involuntary
relaxation of the IAS when the rectum is stretched that
allows feces to move down anal canal
sampling reflex - ANSWERS-when rectal contents contact
Anoderm (receptors at distal anal canal) for differentiation
allows squamous epithelium below the Denate Line with
sensory receptors that differentiate between solid, liquid,
gaseous rectal contents
anal wink - ANSWERS-with cotton swab, swipe at 5 and 7
o'clock on the buttocks with the patient in the modified
lithotomy position
a focused physical exam that assesses prostate and pelvic
muscle control and verifies function of pudendal nerve
, bulbocavernosus reflex - ANSWERS-in modified lithotomy
position, squeeze penis glans to verify external anal
sphincter wink or flick the clitoris in females
a focused physical exam that assesses prostate and pelvic
muscle control and verifies function of pudendal nerve
5 factors that promote continence - ANSWERS-1: colonic
transit, stool volume, and consistency
2: sensory awareness
3: sphincter competence
4: rectal compliance and capacity
5: extrinsic factors
secretory diarrhea - ANSWERS-The absorptive capacity of
the bowel is overwhelmed by the volume of water and
electrolytes that are secreted into it
osmotic (absorptive) diarrhea - ANSWERS-inadequate or
reduced absorption of the bowel
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2025 – 2026
s/s that warrant referral - ANSWERS-*acute urinary
retention
*new neurological s/s
*hematuria
*pain
*recurrent UTI
*pediatric UTI
7 goals of controlled voiding - ANSWERS-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
1: reduce bladder spasms and exposure to bladder irritants -
ANSWERS-*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
2: optimize sphincter function and coaptation - ANSWERS-
*bowel management (clear impaction and prevent
constipation)
*penile urethral occlusive device
*topical estrogen
*periurethral bulking injections
,*artificial urinary sphincter
rectoanal inhibitory reflex - ANSWERS-the involuntary
relaxation of the IAS when the rectum is stretched that
allows feces to move down anal canal
sampling reflex - ANSWERS-when rectal contents contact
Anoderm (receptors at distal anal canal) for differentiation
allows squamous epithelium below the Denate Line with
sensory receptors that differentiate between solid, liquid,
gaseous rectal contents
anal wink - ANSWERS-with cotton swab, swipe at 5 and 7
o'clock on the buttocks with the patient in the modified
lithotomy position
a focused physical exam that assesses prostate and pelvic
muscle control and verifies function of pudendal nerve
, bulbocavernosus reflex - ANSWERS-in modified lithotomy
position, squeeze penis glans to verify external anal
sphincter wink or flick the clitoris in females
a focused physical exam that assesses prostate and pelvic
muscle control and verifies function of pudendal nerve
5 factors that promote continence - ANSWERS-1: colonic
transit, stool volume, and consistency
2: sensory awareness
3: sphincter competence
4: rectal compliance and capacity
5: extrinsic factors
secretory diarrhea - ANSWERS-The absorptive capacity of
the bowel is overwhelmed by the volume of water and
electrolytes that are secreted into it
osmotic (absorptive) diarrhea - ANSWERS-inadequate or
reduced absorption of the bowel
