2. Ch 2 - Pelvic Relaxation

Question 1

pelvic diaphragm consists of _____ muscles

Answer 1

levator ani and coccygeus

Question 2

name the condition

postmenopausal woman
anterior vaginal wall protrusion
urinary incontinence

Answer 2

Cystocele

Question 3

name the condition

postmenopausal woman
posterior vaginal wall protrusion
digitally assisted removal of stool

Answer 3

rectocele

Question 4

name the condition

prolapse of the pouch of douglas into the vagina

Answer 4

enterocele

Question 5

medical options of pelvic prolapse

Answer 5

kegels
estrogen replacement
pessaries

Question 6

surgical options of pelvic prolapse

Answer 6

hysterectomy with vaginal repair

Question 7

cystometric volume measurement

bladder residual volum

Answer 7

<50 ml

Question 8

cystometric volume measurement

sensation of fullness

Answer 8

200-225 ml

Question 9

cystometric volume measurement

urge to void

Answer 9

400-500 ml

Question 10

name the condition

involuntary loss of urine
uncontrolled detrussor contractions from irritation

Answer 10

Sensory Irritative Incontinence

Question 11

name the condition

involuntary loss of urine
with coughing and sneezing
no urine lost at night

Answer 11

stress incontinence

Question 12

name the condition

involuntary loss of urine
cannot suppress urge to void
urine loss day and night

Answer 12

hypertonic bladder (urge incontinence)

Question 13

name the condition

involuntary loss of urine
detrusor muscle not contracted
urine loss day and night

Answer 13

hypotonic bladder (overflow incontinence)

Question 14

name the condition

involuntary loss of urine
history of radical pelvic surgery or radiation surgery
urine loss day and night continuously

Answer 14

bypass incontinence

Question 15

positive Q tip test

Answer 15

seen in stress incontinence

>30 degrees

Question 16

management of stress incontinence

Answer 16

kegels
urethropexy
tension free trans vaginal tape

Question 17

management of urge incontinence

Answer 17

anticholinergics
NSAIDs
tricyclic antidepressants
Ca channel blockers

Question 18

management of overflow incontinence

Answer 18

intermittent self cath
cholingerics
a adrenergic blockers

Question 19

study showing bypass incontinence d/t fistula

Answer 19

intravenous pyelogram (IVP)

Question 20

which meds promote voiding

Answer 20

cholinergics (Bethanechol, Neostigmine)
a antagonists (methyl dopa, phenothiazines)

Question 21

which meds inhibit voiding

Answer 21

antispasmodics (Oxybutynin, flavoxate)
anticholinergics (probanthine)
tricyclics (Imipramine)
a adrenergics (ephedrine, imipramine)
estrogen, progesterone