Most common type of UI in men and women? -correct answersMen is urgency and women is
stress
What is urge UI? -correct answersFeeling of needing to go right away. Rush to the bathroom.
What is stress UI? -correct answersSneezing, coughing, laughing, pressure.
What is mixed incon nence? -correct answersBoth stress and urgency
Risk factors for UI? -correct answersFemale, obesity, dm, depression, stroke, fecal incon nence,
hysterectomy.
What is the first line therapy for most older pa ents with UI? -correct answersBehavioral
therapy
What does behavioral therapy include for UI? -correct answersWeightloss, stop caffeinated
beverages and alcohol, minimize fluid intake at night, stop smoking,loop diure cs should be
taken in a ernoon. Bladder trainings, kegal exercises, and prompted voiding.
Which med can be used for OAB? S/e? -correct answersMyrbetriq; can cause high BP.
,What medica ons can be used for urge incon nence and OAB? What are their class? -correct
answersDetrol (tolterodine), ditropan (oxybu nin)
These are an cholinergics/an muscarinics
An muscarinics and an cholinergics should be avoided in which pa ents?according to BEERS
criteria -correct answersPa ents with demen a or cogni ve impairment
What is the gold standard treatment for women with stress incon nence? -correct
answersSurgery
What is the only evidenced based lifetsyle interven on for for moderately obese younger older
women with UI? -correct answersWeight loss
Treatment of UI in older persons should be be proceeded how? -correct answersStep wise
process. Sta ng with addressing first comorbidi es and medica ons, then lifestyle
interven ons, behavioral treatment, pharmacological treatment, minimally invasive procedures
or surgeries.
Management of UI should focus on what? -correct answersThe most bothersome factors
All pa ents with UI should be screened for?ex? -correct answersFunc onal status and
depression.
Func onal impairment can be assessed by med up and go and minicog test
Urinary frequency may reflect what ? -correct answersHigh fluid intake, and or use of
caffeinated drinks or alcohol.
,Acute onset of UI or the presence of Suprapubic, lower abdominal, or pelvic pain are what kind
of symptoms? What should be done? -correct answersRed flag symptoms. For underlying
neurologic or neoplas c disease. Requires immediate referral to neuro, uro, gyno.
What is the key difference between UI in younger and older persons? -correct answersUI may
be precipitated or worsened by outside factors of urinary tract, including meds, mobility,
environment, menta on, manual dexterity.
What is an assessment tool for UI bother and quality of life? And can be used to assess for the
effect of treatment? -correct answersUrogenital distress index 6, min dif in score is 5/11
What kind of therapy is most efficacious for UI? -correct answersBoth behavioral and drug
therapy. Than either alone
Morbidity with UI are? -correct answersSkin breakdown, falls. Fractures
Symptoms of UTI? -correct answersDysuria, frequency, urgency, hematuria
UTI is the most common infec on seen in who? -correct answersOlder adults in nursing homes,
or hospitals.
Asymptoma c bacteriuria increases with? -correct answersAge and debility
For older adults, treatment should not be ini ated only based on symptoms... why? -correct
answersCommon symptoms can mimic other diseases
Post menopausal women may also complain of? -correct answersLow back pain, nocturia,
incon nence, and cons pa on.
, Why is bacteruria and UTI so common in older adults? -correct answersThere are condi ons or
diseases that lead to altera ons in normal flora, urinary stasis and obstruc on as we age.
Shi s in perineal flora and ph bc if estrogen deficiency occurs.
Urinary stasis and obstruc on can occur due to normal aging, which can lead to increased UTI.
Urethra orifice can also be contaminated.
What is the UA results for UTI? -correct answersPosi ve for nitrates and leukocytes + symptoms
present
What are common signs and Symptoms of UTI in LTC? -correct answersChange in mental Status
and characteris cs of urine
What is not a useful indicator for UTI? -correct answersPresence of pyuria >10 WBC
What other diseases can show presence of pyuria ( >10)? -correct answersNephrolithiasis, IBD,
diver culi s, intro abdominal abscess
Treatment of dirty urine in the older adult popula on with asymptoma c bacteria is? -correct
answersNot beneficial
What is uncomplicated UTI? -correct answersA healthy person w/o a catheter and no Symptoms
of polynephri s.it is directed to E. coli
Treatment for uncomplicated UTI? -correct answersBactrim ds BID x 3 days (avoid if prior UTI in
last 3 months or resistance to sulfas)
Nitrofurantoin 100 mg BID x 5 days
Fosfomycin 3g one dose. Has a lower efficacy
stress
What is urge UI? -correct answersFeeling of needing to go right away. Rush to the bathroom.
What is stress UI? -correct answersSneezing, coughing, laughing, pressure.
What is mixed incon nence? -correct answersBoth stress and urgency
Risk factors for UI? -correct answersFemale, obesity, dm, depression, stroke, fecal incon nence,
hysterectomy.
What is the first line therapy for most older pa ents with UI? -correct answersBehavioral
therapy
What does behavioral therapy include for UI? -correct answersWeightloss, stop caffeinated
beverages and alcohol, minimize fluid intake at night, stop smoking,loop diure cs should be
taken in a ernoon. Bladder trainings, kegal exercises, and prompted voiding.
Which med can be used for OAB? S/e? -correct answersMyrbetriq; can cause high BP.
,What medica ons can be used for urge incon nence and OAB? What are their class? -correct
answersDetrol (tolterodine), ditropan (oxybu nin)
These are an cholinergics/an muscarinics
An muscarinics and an cholinergics should be avoided in which pa ents?according to BEERS
criteria -correct answersPa ents with demen a or cogni ve impairment
What is the gold standard treatment for women with stress incon nence? -correct
answersSurgery
What is the only evidenced based lifetsyle interven on for for moderately obese younger older
women with UI? -correct answersWeight loss
Treatment of UI in older persons should be be proceeded how? -correct answersStep wise
process. Sta ng with addressing first comorbidi es and medica ons, then lifestyle
interven ons, behavioral treatment, pharmacological treatment, minimally invasive procedures
or surgeries.
Management of UI should focus on what? -correct answersThe most bothersome factors
All pa ents with UI should be screened for?ex? -correct answersFunc onal status and
depression.
Func onal impairment can be assessed by med up and go and minicog test
Urinary frequency may reflect what ? -correct answersHigh fluid intake, and or use of
caffeinated drinks or alcohol.
,Acute onset of UI or the presence of Suprapubic, lower abdominal, or pelvic pain are what kind
of symptoms? What should be done? -correct answersRed flag symptoms. For underlying
neurologic or neoplas c disease. Requires immediate referral to neuro, uro, gyno.
What is the key difference between UI in younger and older persons? -correct answersUI may
be precipitated or worsened by outside factors of urinary tract, including meds, mobility,
environment, menta on, manual dexterity.
What is an assessment tool for UI bother and quality of life? And can be used to assess for the
effect of treatment? -correct answersUrogenital distress index 6, min dif in score is 5/11
What kind of therapy is most efficacious for UI? -correct answersBoth behavioral and drug
therapy. Than either alone
Morbidity with UI are? -correct answersSkin breakdown, falls. Fractures
Symptoms of UTI? -correct answersDysuria, frequency, urgency, hematuria
UTI is the most common infec on seen in who? -correct answersOlder adults in nursing homes,
or hospitals.
Asymptoma c bacteriuria increases with? -correct answersAge and debility
For older adults, treatment should not be ini ated only based on symptoms... why? -correct
answersCommon symptoms can mimic other diseases
Post menopausal women may also complain of? -correct answersLow back pain, nocturia,
incon nence, and cons pa on.
, Why is bacteruria and UTI so common in older adults? -correct answersThere are condi ons or
diseases that lead to altera ons in normal flora, urinary stasis and obstruc on as we age.
Shi s in perineal flora and ph bc if estrogen deficiency occurs.
Urinary stasis and obstruc on can occur due to normal aging, which can lead to increased UTI.
Urethra orifice can also be contaminated.
What is the UA results for UTI? -correct answersPosi ve for nitrates and leukocytes + symptoms
present
What are common signs and Symptoms of UTI in LTC? -correct answersChange in mental Status
and characteris cs of urine
What is not a useful indicator for UTI? -correct answersPresence of pyuria >10 WBC
What other diseases can show presence of pyuria ( >10)? -correct answersNephrolithiasis, IBD,
diver culi s, intro abdominal abscess
Treatment of dirty urine in the older adult popula on with asymptoma c bacteria is? -correct
answersNot beneficial
What is uncomplicated UTI? -correct answersA healthy person w/o a catheter and no Symptoms
of polynephri s.it is directed to E. coli
Treatment for uncomplicated UTI? -correct answersBactrim ds BID x 3 days (avoid if prior UTI in
last 3 months or resistance to sulfas)
Nitrofurantoin 100 mg BID x 5 days
Fosfomycin 3g one dose. Has a lower efficacy
