Deck 15: Urinary Incontinence

Question 1

The costs associated with management of urinary incontinence often are not covered by insurance and become an out-of-pocket expense.

Answer 1

True

Question 2

Indwelling catheters are still the recommended first step in an incontinence treatment regimen.

Answer 2

False

Question 3

A urinary tract infection should be treated prior to initiation of other urinary incontinence treatment because resolution of the urinary tract infection may eliminate the urine leakage, frequency, and/or urgency.

Answer 3

True

Question 4

What type of incontinence, occurring at least weekly, is associated with increased fall risk and nonspine, nontraumatic fractures in community-dwelling women age 65 years or older?

A) Stress incontinence
B) Urge incontinence
C) Overflow incontinence
D) Functional incontinence

Question 5

The multiple causative and contributory factors associated with the development or exacerbation of urinary incontinence can be remembered by using what mnemonic?

A) SOAP ME
B) DIAPPERS
C) SUMO-FUN
D) SMART

Question 6

The patient should record bladder diary findings over 3-7 days; however, what time period typically provides sufficient data and is a more reasonable time frame for data collection?

A) 24 hours
B) 48 hours
C) 72 hours
D) 96 hours

Question 7

What type of incontinence is associated with diabetes, spinal cord injury below T10-11, and obstruction of the urethra, often due to an enlarged prostate gland?

A) Stress incontinence
B) Urge incontinence
C) Overflow incontinence
D) Functional incontinence

Question 8

What behavioral management approach has been successful in decreasing the frequency of urinary incontinence in clinical trials with physically and cognitively impaired nursing home residents?

A) Prompted voiding
B) Bladder training
C) Pelvic muscle rehabilitation
D) Urge suppression techniques

Question 9

What alpha-antagonist acts at the bladder neck to increase urethral tone, which may decrease leakage and is often prescribed for mild cases of stress urinary incontinence?

A) Duloxetine
B) Pseudoephedrine
C) Finasteride
D) Oxybutynin

Question 10

According to the Centers for Medicare and Medicaid Services, an indwelling catheter can be utilized as long as documented postvoid residual volumes are in a range over what level?

A) 130 milliliters
B) 150 milliliters
C) 180 milliliters
D) 200 milliliters

Question 11

The bladder diary is a reliable method for assessing the frequency of voluntary voiding and urinary incontinence and can be a particularly important data source to differentiate factors contributing to nocturia.

Question 12

The mnemonic SUMO-FUN is commonly used to remember the causative factors of urinary incontinence.

Question 13

The ability to contract the anal sphincter indicates a functional pelvic floor with intact innervation.

Question 14

Which of the following is an instrument specific to the nursing home setting that measures stress associated with urinary incontinence?

A) Confusion Assessment Method (CAM)
B) Mini-Mental State Examination (MMSE)
C) Intolerance Questionnaire for Patients (ISQ-P)
D) Urogenital Distress Inventory/Incontinence Impact Questionnaire (UDI/IIQ)

Question 15

With minor wording modifications of some items, what tool is appropriate for men and from hospitalization through reintegration into the community?

A) Confusion Assessment Method (CAM)
B) Mini-Mental State Examination (MMSE)
C) Intolerance Questionnaire for Patients (ISQ-P)
D) Urogenital Distress Inventory/Incontinence Impact Questionnaire (UDI/IIQ)

Question 16

Comorbidities of diabetes and hypertension greatly increase the risk of what medical condition, which can be the root cause of nocturia?

A) Sleep apnea
B) Hydronephrosis
C) Hyperthyroidism
D) Benign prostatic hyperplasia

Question 17

A urethral carbuncle, a cherry-red lesion at the urinary meatus, is an indicator of what medical condition in women?

A) Uterine prolapse
B) Estrogen deficiency
C) Vaginal infection
D) Dyspareunia

Question 18

Blood tests such as blood urea nitrogen (BUN)/creatinine ratio, serum osmolality, and serum sodium are predictors of what medical condition?

A) Dehydration
B) Diabetes mellitus
C) Renal insufficiency
D) Urinary tract infection

Question 19

An evaluation of pelvic floor muscle strength is a particularly important evaluation for individuals with what medical condition due to possible neuropathy?

A) Hypertension
B) Hyperthyroidism
C) Diabetes mellitus
D) Benign prostatic hyperplasia

Question 20

In women with what medical condition, pelvic floor strength can be evaluated rectally?

A) Uterine prolapse
B) Diabetes mellitus
C) Vaginal stenosis
D) Estrogen deficiency