Pelvic Floor

Question 1

the PF muscles are ___% fast twitch and ___% slow twitch

Answer 1

30% fast
70% slow

Question 2

PF is innervated by

Answer 2

pudendal n
sacral nerve roots

Question 3

what makes the floor of the PF?

Answer 3

piriformis
obturator internus

Question 4

5 functions of PF

Answer 4

support
sphincteric
sexual
stability
sump pump

Question 5

what is the most superficial muscle layer?

Answer 5

superficial perineal space

Question 6

what is the middle muscle layer?

Answer 6

urogenital diaphragm

Question 7

what is the deepest layer?

Answer 7

pelvic diaphragm

Question 8

max cap of bladder

Answer 8

600 mL

Question 9

when do stretch receptors signal an urge?

Answer 9

250 mL

Question 10

how many voids per day?

Answer 10

4-8

Question 11

how often is normal urination?

Answer 11

every 3-4 hours

Question 12

stress incontinence

Answer 12

leakage of urine with increased intra-abdominal pressure

Question 13

urge incontinence

Answer 13

leakage associated with a strong urge, often otw to bathroom

Question 14

overflow incontinence

Answer 14

leakage from a full bladder, urge to void is missed or blockage to urethra

Question 15

functional incontinence

Answer 15

patient with mobility issue preventing getting to the bathroom in time

Question 16

if a pt reports feeling heaviness in vagina, what is suspected?

Answer 16

prolapse

Question 17

cystocele prolapse

Answer 17

bladder falling in

Question 18

what are the main bladder irritants?

Answer 18

caffeine
alcohol
carbonation
artificial sweetners

Question 19

what is “the knack”?

Answer 19

hold contraction before cough or sneeze

Question 20

normal BM

Answer 20

3x/day to 3x/week

Question 21

the knees should be ____ than the hips to relax the ____ muscle

Answer 21

higher
pubrorectalis

Question 22

1 in ___ American women have pelvic pain

Answer 22

7

Question 23

vulvodynia and vestibulodynia

Answer 23

• pain in vulva not related to a specific, identifiable disorder
• pt c/o discomfort with sensations of burning, irritation rawness, knife-like pain

Question 24

what is the dilator program used for?

Answer 24

vaginismus
vulvodynia
pts with high fear levels

Question 25

which lig is stretched in pregnant women that can cause pain?

Answer 25

round lig

Question 26

what is diastasis recti?

Answer 26

abdominal wall separation between rectus muscle bellies at the linea alba

Question 27

T/F: diastasis recti is normal during late stage pregnancy

Answer 27

T

Question 28

when does diastasis recti become abnormal?

Answer 28

if persists 3 months post-partum

Question 29

diastasis recti is associated with what other conditions?

Answer 29

LBP incontinence prolapse constipation

Question 30

which mm can be painful and cause sx that look like a labral tear?

Answer 30

obturator internus

Question 31

what is the primary cause of urinary accidents and bedwetting in kids?

Answer 31

constipation

Question 32

_____ is the 2nd most common reason for nursing home admission

Answer 32

incontinence