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Nurse Practitioner:
doi: 10.1097/01.NPR.0000406471.98288.74
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Understanding stress urinary incontinence

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INSTRUCTIONS Understanding stress urinary incontinence

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Understanding stress urinary incontinence

General Purpose: To provide the NP with an overview of issues related to UI and its management. Learning Objectives: After reading the preceding article and taking this test, you should be able to: 1. Identify causative factors related to UI. 2. Distinguish between the various types of UI. 3. Describe the role of the NP in managing patients with SUI.

1. Which statement about the incidence of UI is correct?

a. Women are three times more likely than men to have UI.

b. Up to 35% of persons over 60 years of age have UI.

c. UI in women is more common in non-Hispanic Blacks than Mexican Americans.

d. An estimated 24% of women less than 45 years old have UI.

2. SUI in men is most often a complication of

a. the aging process.

b. medication use.

c. prostate cancer treatment.

d. pelvic trauma.

3. Urgency UI (UUI) occurs when there is dysfunction of

a. storage capability.

b. sphincter.

c. bladder wall.

d. both storage and sphincter.

4. SUI is related to increased

a. pressure on the bladder.

b. cortisol secretion.

c. emotional stress.

d. estrogen levels.

5. Decreased urethral outlet resistance is the underlying cause of

a. UUI.

b. OAB.

c. mixed UI.

d. SUI.

6. An associated symptom of UUI is

a. urine leaking in small amounts.

b. urgency occurring with little warning time.

c. UI after coughing or laughing.

d. the ability to delay voiding after urgency.

7. Urinary frequency is defined as voiding at least

a. five times daily.

b. seven times daily.

c. nine times daily.

d. twice after each meal.

8. Which of the following is not associated with OAB?

a. urinary frequency

b. nocturia

c. urinary urgency

d. sphincter dysfunction

9. Management of a patient with OAB may begin with

a. bladder training.

b. periurethral injections.

c. an artificial urinary sphincter.

d. anticholinergic medications.

10. The NP should consider referral for UI associated with

a. nocturia.

b. voiding more than 8 times/day.

c. moderate to large amounts of urine leakage.

d. previous pelvic surgery.

11. Anticholinergic medications are not indicated for

a. mixed UI.

b. SUI.

c. UUI.

d. OAB.

12. SUI is a common problem in women with a history of any of the following except

a. multiparity.

b. vaginal delivery.

c. epidural anesthesia for delivery.

d. trauma to the urethral sphincter.

13. Evidence-based research indicates that UI in primiparous women can be prevented by

a. estrogen therapy.

b. bladder training.

c. urge suppression techniques.

d. PFMT.

14. Athletic women at risk for SUI are those who participate in

a. running.

b. bowling.

c. walking.

d. golfing.

15. Contracting pelvic muscles before and during activity that causes SUI is referred to as

a. the "Knack" technique.

b. "quick" PFMEs.

c. "slow" PFMEs.

d. Kegel exercises.

16. Upper-leg weakness is more commonly experienced after which treatment?

a. Burch colposuspension

b. periurethral injection

c. transobturator sling

d. implantation of an artificial urinary sphincter

17. Which statement about urethral bulking is correct?

a. It is as effective as a bone-anchored sling.

b. The treatment is effective long-term, lasting approximately 15 years.

c. It uses a mechanical, water-filled cuff.

d. It is an option for patients who are not surgical candidates.

18. Lifestyle changes recommended for mixed UI include

a. increasing the intake of tomato-based foods/drinks.

b. avoiding constipation.

c. not drinking fluids for 5 to 6 hours before bedtime.

d. keeping legs dependent during waking hours.

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