Question 1

The type of urinary incontinence (UI) characterized by urine leakage with the strong urge or need to void is called:&#10;A) Stress incontinence&#10;B) Mixed incontinence&#10;C) Urge incontinence&#10;D) Neurogenic bladder

Accepted Answer

Urge incontinence is characterized by a sudden, intense urge to urinate followed by an involuntary loss of urine.

Question 2

Overactive bladder (OAB) is characterized by urinary frequency and pain.

Accepted Answer

Overactive bladder (OAB) is characterized by urinary urgency, frequency, and sometimes urge incontinence, but not typically pain. Pain is more associated with conditions like interstitial cystitis.

Question 3

UI that occurs almost equally with physical activity and a sense of urgency is most likely:&#10;A) Urge incontinence&#10;B) Mixed incontinence&#10;C) Stress incontinence&#10;D) Neurogenic incontinence

Accepted Answer

Mixed incontinence involves symptoms of both stress and urge incontinence, occurring with physical activity and a sense of urgency.

Question 4

Weight loss as little as 3-5% has been shown to reduce weekly incontinence episodes by 50-60%.

Accepted Answer

Research has shown that even a modest weight loss of 3-5% can significantly reduce the frequency of urinary incontinence episodes, particularly in overweight and obese individuals.

Question 5

An appropriate diagnostic work-up for UI includes all the following except:&#10;A) Urine diary&#10;B) Urinalysis&#10;C) Bladder and pelvic ultrasound&#10;D) Postvoid residual

Accepted Answer

Bladder and pelvic ultrasound is not typically part of the initial diagnostic work-up for urinary incontinence (UI). The other options are standard initial assessments to evaluate UI.

Question 6

A 45-year-old nulliparous female with a BMI of 34 presents to your office with complaints of urine leakage when she runs for the bus, laughs heartily and coughs. She most likely has mixed UI and would benefit from:

A) Weight loss
B) Kegel exercises
C) Bladder retraining
D) All of the above

Accepted Answer

Weight loss, Kegel exercises, and bladder retraining can all help manage mixed urinary incontinence by reducing pressure on the bladder, strengthening pelvic floor muscles, and improving bladder control.

Question 7

Oxybutynin is commonly used as a pharmacologic treatment for UI. Contraindications include:&#10;A) Severe kidney disease, glaucoma, uterine fibroids&#10;B) Obesity, liver disease, glaucoma&#10;C) Severe kidney disease, glaucoma, and liver disease&#10;D) Glaucoma, kidney disease, constipation

Accepted Answer

Severe kidney disease, glaucoma, and liver disease are all contraindications to oxybutynin use.

Question 8

The advantages of behavioral treatment modalities for urinary incontinence are:&#10;A) They directly involve the patient in her health management&#10;B) They have been shown to provide full or partial relief of symptoms of stress, urge, and mixed UI&#10;C) They have no side effects&#10;D) All of the above

Accepted Answer

Behavioral treatment modalities for urinary incontinence involve the patient in managing their health, can provide relief for various types of incontinence, and typically have no side effects, making all the options correct.

Question 9

Pharmacologic management of UI is generally effective for:&#10;A) Urge incontinence/overactive bladder&#10;B) Stress incontinence&#10;C) Both stress and urge incontinence&#10;D) Neurogenic bladder

Accepted Answer

Pharmacologic management is generally effective for urge incontinence/overactive bladder, as medications can help relax the bladder muscle and reduce symptoms. Stress incontinence typically requires non-pharmacologic interventions like pelvic floor exercises or surgery.

Question 10

The Urge Suppression Technique includes all of the following except:&#10;A) When the urge to urinate occurs, stop all activity and sit down&#10;B) When the urge to urinate occurs, walk as quickly as possible to the bathroom&#10;C) Squeeze the pelvic floor muscles tightly and quickly several times&#10;D) Breathe deeply and try to relax

Accepted Answer

The Urge Suppression Technique involves stopping activity, sitting down, squeezing pelvic muscles, and relaxing, but not walking quickly to the bathroom.

Deck 25: Urinary Incontinence