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NR 601 PRACTICE TEST 2
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AND EXAM REVIEW: LATEST
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UPDATE
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,Most common type of UI in men and women? - ANSWER Men is urgency and
women is stress
What is urge UI? - ANSWER Feeling of needing to go right away. Rush to the
bathroom.
What is stress UI? - ANSWER Sneezing, coughing, laughing, pressure.
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What is mixed incontinence? - ANSWER Both stress and urgency
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Risk factors for UI? - ANSWER Female, obesity, dm, depression, stroke, fecal
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incontinence, hysterectomy.
What is the first line therapy for most older patients with UI? - ANSWER Behavioral
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therapy
What does behavioral therapy include for UI? - ANSWER Weightloss, stop
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caffeinated beverages and alcohol, minimize fluid intake at night, stop smoking,loop
diuretics should be taken in afternoon. Bladder trainings, kegal exercises, and prompted
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voiding.
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Which med can be used for OAB? S/e? - ANSWER Myrbetriq; can cause high BP.
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What medications can be used for urge incontinence and OAB? What are their class? -
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ANSWER Detrol (tolterodine), ditropan (oxybutinin)
These are anticholinergics/antimuscarinics
Antimuscarinics and anticholinergics should be avoided in which patients?according to
BEERS criteria - ANSWER Patients with dementia or cognitive impairment
,What is the gold standard treatment for women with stress incontinence? - ANSWER
Surgery
What is the only evidenced based lifetsyle intervention for for moderately obese
younger older women with UI? - ANSWER Weight loss
Treatment of UI in older persons should be be proceeded how? - ANSWER Step wise
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process. Stating with addressing first comorbidities and medications, then lifestyle
interventions, behavioral treatment, pharmacological treatment, minimally invasive
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procedures or surgeries.
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Management of UI should focus on what? - ANSWER The most bothersome factors
All patients with UI should be screened for?ex? - ANSWER Functional status and
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depression.
Functional impairment can be assessed by timed up and go and minicog test
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Urinary frequency may reflect what ? - ANSWER High fluid intake, and or use of
caffeinated drinks or alcohol.
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Acute onset of UI or the presence of Suprapubic, lower abdominal, or pelvic pain are
what kind of symptoms? What should be done? - ANSWER Red flag symptoms. For
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underlying neurologic or neoplastic disease. Requires immediate referral to neuro, uro,
gyno.
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What is the key difference between UI in younger and older persons? - ANSWER UI
may be precipitated or worsened by outside factors of urinary tract, including meds,
mobility, environment, mentation, manual dexterity.
, What is an assessment tool for UI bother and quality of life? And can be used to assess
for the effect of treatment? - ANSWER Urogenital distress index 6, min dif in score is
5/11
What kind of therapy is most efficacious for UI? - ANSWER Both behavioral and drug
therapy. Than either alone
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Morbidity with UI are? - ANSWER Skin breakdown, falls. Fractures
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Symptoms of UTI? - ANSWER Dysuria, frequency, urgency, hematuria
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UTI is the most common infection seen in who? - ANSWER Older adults in nursing
homes, or hospitals.
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Asymptomatic bacteriuria increases with? - ANSWER Age and debility
For older adults, treatment should not be initiated only based on symptoms... why? -
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ANSWER Common symptoms can mimic other diseases
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Post menopausal women may also complain of? - ANSWER Low back pain, nocturia,
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incontinence, and constipation.
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Why is bacteruria and UTI so common in older adults? - ANSWER There are
conditions or diseases that lead to alterations in normal flora, urinary stasis and
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obstruction as we age.
Shifts in perineal flora and ph bc if estrogen deficiency occurs.
Urinary stasis and obstruction can occur due to normal aging, which can lead to
increased UTI.
Urethra orifice can also be contaminated.
