Incontinence

Question 1

what increases risk of inconteience

Answer 1

women
age
multi parity

Question 2

age related bladder changes

Answer 2

bladder capacity decline
increase in residual urine
involuntary bladder contractions

Question 3

what causes atrophic vaginitis and urethritis? can lead to UTI and urgency incontinence

Answer 3

low estrogen

Question 4

Prostatic enlargement often causes what in men?

Answer 4

Overflow types of incontinence

Question 5

2 types of inconteinence

Answer 5

Reversible and non-deversible

Question 6

what is DRIP? (reversible incontinence)

Answer 6

Delirium
restriction mobility/ retention
infection/ infalm/ impaction
polyuria/ polypharm

Question 7

what can cause osmotic diuresis, increased urine output?

Answer 7

Hyperglycemia

Question 8

urethral spinchter is weakened so that transient increases in intra-abdominal pressure raise the bladder pressure to levels that excessed urethral resistance

Answer 8

stress incontinence

Question 9

momentary leakage of small amount of liquid with coughing, laughing, sneezing. Not associated w/ a desire to urinate.

Answer 9

stress incontinence

Question 10

Detrusor contractions stronger than normal and overcome the normal urethral resistance. Usually a small bladder. Caused by cortical inhibition, hyper excitability of sensory pathway, deconditioning of voiding refluxes.

Answer 10

Urge incontinence

Question 11

detrusor contraction insufficient to overcome urethral resistance. large bladder. can be due to BPH, tumor. associated w/ peripheral nerve dz at sacral level

Answer 11

Overflow incontinence

Question 12

functional inability to get to the toliet in time.

Answer 12

Functional incontinence

Question 13

what type of incontinence do you not use anticholinergics for.

Answer 13

Overflow incontinence

Question 14

What two types of incontinence have initiating events? (cough, laugh, sneeze, walking)

Answer 14

Stress

Overflow

Question 15

Does urge incontinence have high or low volume?

Answer 15

high

Question 16

What type of incontinence has a large bladder?

Answer 16

overflow

Question 17

What is an example of alpha-adrenergic agonist used to treat mild stress?

Answer 17

pseudophedrine

Question 18

Oxybutynin, tolterodine, trospium are what?

Answer 18

Anticholinergic agents to treat urge

Question 19

What are tricyclic antidepressants for?

Answer 19

Mixed, stress and urge

Question 20

What is estrogen deficient related to?

Answer 20

stress and urge

Question 21

If does not resolve within ____ weeks = chronic, established incontinence

Answer 21

6

Question 22

The Q-tip test and the Bonney (Marshall) test are associated with

Answer 22

Stress incontinence

Question 23

Treatment for stress incontinence

Answer 23

Kegel
Estrogen (only if postmenopausal)
Duloxitine – serotonin/norepinephrine reuptake inhibitor
Surgery
Pessary 
Diapers/incontinence pads

Question 24

What are sensory causes of urge incontinence?

Answer 24

infection or inflammation

Question 25

What is the goal of pharm for urge incontinence?

Answer 25

relax smooth muscle at base (trigone) of bladder or block the involuntary bladder contractions

Question 26

What are 5 drugs for overflow incontinence?

Answer 26

tricyclics, narcotics, tranquilizers, CCB, anticholinergics

Question 27

What incontinence can’t be treated with meds?

Answer 27

functional incontinence

Question 28

What are irritative symptoms?

Answer 28

urinary frequency, urgency, nocturia