Deck 17: Urinary Incontinence in Children

Question 1

Detailed voiding and elimination history should include:

A) Actual frequency of voiding while at school (for school-age children)
B) Actual stooling frequency and consistency
C) Description and definition of the patient's "normal" voiding and elimination patterns
D) All of the above

Answer 1

D

Question 2

Select the components of a full genitourinary (GU) screening physical exam:

A) Abdomen, internal GU, external GU exam
B) Abdomen, external GU, lumbar sacral region
C) Abdomen, external GU, lumbar sacral region, neuro exam
D) Internal GU, external GU, lumbar sacral region

Answer 2

C

Question 3

Antonio is an 8-year-old male with history of daytime wetting and persistent night-time wetting every single night. He has a hard bowel movement every other day and occasionally clogs the toilet with routine staining on his underwear but no actual bowel accidents. What is his diagnosis?

A) Dysfunctional voiding
B) Nocturnal enuresis
C) Constipation
D) Bladder and bowel dysfunction (BBD)

Answer 3

D

Question 4

What is the first line of medication treatment for bowel clean-out?

A) Polyethylene glycol (Miralax)
B) Lactulose
C) Magnesium citrate
D) Metamucil/fiber

Question 5

The key to helping children learn to relax their external sphincter is timed voiding-void on a schedule whether they feel the need to or not and avoid postponing behavior (aka "potty dance").

Question 6

Use of a traditional alarm set at a specific time can be equally effective for primary nocturnal enuresis as a bedwetting alarm that has a sensor that activates only when wet.

Question 7

What should be considered (ruled out) for children who have secondary onset of nighttime wetting?

A) Urinary tract infection
B) Tethered spinal cord
C) Psychological trauma
D) All of the above

Question 8

Children who experience a wetting episode shortly after voiding may have which of the following:

A) Constipation/stool retention
B) Vaginal voiding
C) Postvoid residual
D) All of the above

Question 9

First line of treatment for children with postvoid residual include:

A) Fluid restriction
B) Timed voiding with double voiding
C) Sit on toilet for 20 minutes with each void
D) Intermittent catheterization

Question 10

A simple intervention for children to avoid vaginal voiding is:

A) Void with underwear down by ankles and knees spread apart
B) Void with underwear by thighs and knees closed together
C) Timed voiding with double voiding
D) Avoid postponing behavior (aka "potty dance").

Question 11

The key to management of incontinence and bladder bowel dysfunction in children is to determine the child's perception of the issues and his/her motivation in resolving the issues.