Incontinence

Question 1

storage of urine under control of what nervous system

Answer 1

sympathetic (B3 causes relaxation of detrusor)

Question 2

voiding of urine under control of what nervous system

Answer 2

parasympathetic (M3 causes contraction of detrusor)

Question 3

receptor at internal urethral sphincter

Answer 3

A1

Question 4

receptor at EUS

Answer 4

nACHr

Question 5

cause of SUI in men

Answer 5

alpha blockers and prostatectomy

Question 6

IX for incontinence

Answer 6

1)urine dip 2) bladder diary 3) DRE 4) frequency volume charts 5) urodynamic studies

Question 7

drug for SUI

Answer 7

duloxetine - SNRI

Question 8

drug for UUI

Answer 8

antimuscarinics (oxybutynin/tolterodine) and mirabegron (B3 agonist)

Question 9

tamsulosin MOA

Answer 9

alpha 1 antagonist (work at IUS)

Question 10

definition of nocturnal polyuria

Answer 10

passing >1/3 of urine output at night

Question 11

cause for nocturnal polyuria

Answer 11

drinking too much in the evening, the body is supposed to produce more ADH at night but as we age this amount decreases

Question 12

Mx of nocturnal polyuria

Answer 12

rule out other causes like diabetes and infection and then conservatively manage with limiting fluid and can use furosemide if this doesn’t work