Nr 601 final exam review
1. Most common type of UI in men and women?: Men is urgency and women is stress
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 incontinence?: Both stress and urgency
5. Risk factors for UI?: Female, obesity, dm, depression, stroke, fecal incontinence, hysterectomy.
6. What is the first line therapy for most older patients with UI?: Behavioral therapy
7. What does behavioral therapy include for UI?: Weightloss, stop catteinated beverages and
alcohol, minimize fluid intake at night, stop smoking,loop diuretics should be taken in afternoon. Bladder trainings,
kegal exercises, and prompted voiding.
8. Which med can be used for OAB? S/e?: Myrbetriq; can cause high BP.
9. What medications can be used for urge incontinence and OAB? What are
their class?: Detrol (tolterodine), ditropan (oxybutinin)
These are anticholinergics/antimuscarinics
10. Antimuscarinics and anticholinergics should be avoided in which pa-
tients?according to BEERS criteria: Patients with dementia or cognitive impairment
11. What is the gold standard treatment for women with stress incontinence?-
: Surgery
12. What is the only evidenced based lifetsyle intervention for for moderately
obese younger older women with UI?: Weight loss
13. Treatment of UI in older persons should be be proceeded how?: Step wise
process. Stating with addressing first comorbidities and medications, then lifestyle interventions, behavioral treat-
ment, pharmacological treatment, minimally invasive procedures or surgeries.
14. Management of UI should focus on what?: The most bothersome factors
15. All patients with UI should be screened for?ex?: Functional status and depression.
Functional impairment can be assessed by timed up and go and minicog test
16. Urinary frequency may reflect what ?: High fluid intake, and or use of catteinated drinks or
alcohol.
17. Acute onset of UI or the presence of Suprapubic, lower abdominal, or pelvic
,pain are what kind of symptoms? What should be done?: Red flag symptoms. For
underlying neurologic or neoplastic disease. Requires immediate referral to neuro, uro, gyno.
, 18. What is the key difference between UI in younger and older persons?: UI may
be precipitated or worsened by outside factors of urinary tract, including meds, mobility, environment, mentation,
manual dexterity.
19. What is an assessment tool for UI bother and quality of life? And can be
used to assess for the effect of treatment?: Urogenital distress index 6, min dif in score is 5/11
20. What kind of therapy is most efficacious for UI?: Both behavioral and drug therapy. Than
either alone
21. Morbidity with UI are?: Skin breakdown, falls. Fractures
22. Symptoms of UTI?: Dysuria, frequency, urgency, hematuria
23. UTI is the most common infection seen in who?: Older adults in nursing homes, or
hospitals.
24. Asymptomatic bacteriuria increases with?: Age and debility
25. For older adults, treatment should not be initiated only based on symp-
toms... why?: Common symptoms can mimic other diseases
26. Post menopausal women may also complain of?: Low back pain, nocturia, incontinence,
and constipation.
27. Why is bacteruria and UTI so common in older adults?: There are conditions or
diseases that lead to alterations in normal flora, urinary stasis and obstruction as we age.
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 for UTI?: Positive for nitrates and leukocytes + symptoms present
29. What are common signs and Symptoms of UTI in LTC?: Change in mental Status and
characteristics of urine
30. What is not a useful indicator for UTI?: Presence of pyuria >10 WBC
31. What other diseases can show presence of pyuria ( >10)?: Nephrolithiasis, IBD,
diverticulitis, intro abdominal abscess
32. Treatment of dirty urine in the older adult population with asymptomatic
bacteria is?: Not beneficial
33. What is uncomplicated UTI?: A healthy person w/o a catheter and no Symptoms of polynephritis.it
is directed to E. coli
1. Most common type of UI in men and women?: Men is urgency and women is stress
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 incontinence?: Both stress and urgency
5. Risk factors for UI?: Female, obesity, dm, depression, stroke, fecal incontinence, hysterectomy.
6. What is the first line therapy for most older patients with UI?: Behavioral therapy
7. What does behavioral therapy include for UI?: Weightloss, stop catteinated beverages and
alcohol, minimize fluid intake at night, stop smoking,loop diuretics should be taken in afternoon. Bladder trainings,
kegal exercises, and prompted voiding.
8. Which med can be used for OAB? S/e?: Myrbetriq; can cause high BP.
9. What medications can be used for urge incontinence and OAB? What are
their class?: Detrol (tolterodine), ditropan (oxybutinin)
These are anticholinergics/antimuscarinics
10. Antimuscarinics and anticholinergics should be avoided in which pa-
tients?according to BEERS criteria: Patients with dementia or cognitive impairment
11. What is the gold standard treatment for women with stress incontinence?-
: Surgery
12. What is the only evidenced based lifetsyle intervention for for moderately
obese younger older women with UI?: Weight loss
13. Treatment of UI in older persons should be be proceeded how?: Step wise
process. Stating with addressing first comorbidities and medications, then lifestyle interventions, behavioral treat-
ment, pharmacological treatment, minimally invasive procedures or surgeries.
14. Management of UI should focus on what?: The most bothersome factors
15. All patients with UI should be screened for?ex?: Functional status and depression.
Functional impairment can be assessed by timed up and go and minicog test
16. Urinary frequency may reflect what ?: High fluid intake, and or use of catteinated drinks or
alcohol.
17. Acute onset of UI or the presence of Suprapubic, lower abdominal, or pelvic
,pain are what kind of symptoms? What should be done?: Red flag symptoms. For
underlying neurologic or neoplastic disease. Requires immediate referral to neuro, uro, gyno.
, 18. What is the key difference between UI in younger and older persons?: UI may
be precipitated or worsened by outside factors of urinary tract, including meds, mobility, environment, mentation,
manual dexterity.
19. What is an assessment tool for UI bother and quality of life? And can be
used to assess for the effect of treatment?: Urogenital distress index 6, min dif in score is 5/11
20. What kind of therapy is most efficacious for UI?: Both behavioral and drug therapy. Than
either alone
21. Morbidity with UI are?: Skin breakdown, falls. Fractures
22. Symptoms of UTI?: Dysuria, frequency, urgency, hematuria
23. UTI is the most common infection seen in who?: Older adults in nursing homes, or
hospitals.
24. Asymptomatic bacteriuria increases with?: Age and debility
25. For older adults, treatment should not be initiated only based on symp-
toms... why?: Common symptoms can mimic other diseases
26. Post menopausal women may also complain of?: Low back pain, nocturia, incontinence,
and constipation.
27. Why is bacteruria and UTI so common in older adults?: There are conditions or
diseases that lead to alterations in normal flora, urinary stasis and obstruction as we age.
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 for UTI?: Positive for nitrates and leukocytes + symptoms present
29. What are common signs and Symptoms of UTI in LTC?: Change in mental Status and
characteristics of urine
30. What is not a useful indicator for UTI?: Presence of pyuria >10 WBC
31. What other diseases can show presence of pyuria ( >10)?: Nephrolithiasis, IBD,
diverticulitis, intro abdominal abscess
32. Treatment of dirty urine in the older adult population with asymptomatic
bacteria is?: Not beneficial
33. What is uncomplicated UTI?: A healthy person w/o a catheter and no Symptoms of polynephritis.it
is directed to E. coli
