Gynecology

Question 1

INCONT

path:
- big
- multiple births
- stretch card lig
- cystocele

Answer 1

Stress Incont

Question 2

INCONT

path:
- Random spam
- detrusor M

Answer 2

Hypertonic

motor urge overactive bladder

Question 3

INCONT

path:
- absent detrusor contractions
- neurogenic (MS, Trauma, Anti-spasm)

Answer 3

Hypotonic, Overflow

Question 4

INCONT

path:
- Inflammation
- stones
- CA
- UTI

Answer 4

Irritative Bladder

Question 5

sneeze + pee
no urge
no noctural sxs

Answer 5

stress incont

Question 6

stress Incont

dx

Answer 6

physical (cystocele, Q-tip test)

Question 7

stress Incont

tx

Answer 7

• Kegel–> Pessaries

- surgery

Question 8

(+) urge
(+) nocturnal
leak without contraction

Answer 8

Hypertonic

motor urge overactive bladder

Question 9

Hypertonic
motor urge overactive bladder

dx:

Answer 9

Physical=normal
U/A=normal
Cystometry=decreases

Question 10

Hypertonic
motor urge overactive bladder

tx:

Answer 10

Antispasmodics

oxybutynin

Question 11

NO urge

(+) Nocturnal through day

Answer 11

Hypotonic, Overflow

Question 12

Hypotonic, Overflow

dx

Answer 12

physical=distended
U/A: normal
Cystometry: decreases

Question 13

Hypotonic, Overflow

tx:

Answer 13

Bethanechol

Intermittent vs chronic indwelling catheters

Question 14

F/U/D
(+) Urge
no noctural

Answer 14

Irritative Bladder

Question 15

Irritative Bladder

dx

Answer 15

Physical=Normal

U/A=WBC, RBC

Question 16

Continues leak=Fistula

tx

Answer 16

surgery