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Incontinence - PT - 4 Hour

INSTRUCTIONS
You will need to answer 14 questions correctly to pass the test.
(1) What percentage of individuals with incontinence consults a health care provider about their problem? (p.3)
(A) 90%
(B) 75%
(C) 60%
(D) less than 50%
(2) Which of the following presents as a barrier for individuals seeking help for incontinence? (p.4)
(A) Lack of understanding about the condition.
(B) Mistaken beliefs that symptoms are a normal part of aging or childbirth.
(C) Lack of knowledge about available treatments.
(D) All of the above.
(3) Urinary incontinence is generally recognized as one of the major causes of institutionalization of the elderly. (p.6)
(A) True
(B) False
(4) Which of the following is NOT an identified risk factor for urinary incontinence? (p.6-7)
(A) A woman who has had 2 or ore cesarean births
(B) Smoking
(C) Obesity
(D) Diabetes
(5) Transurethral resection of the prostate is associated with high incidence of UI. (p.8)
(A) True
(B) False
(6) Phasic involuntary contractions of the urinary bladder are known as _______. (p.10)
(A) Somatic storage reflex
(B) Detrusor overactivity
(C) Intrinsic sphincter deficiency
(D) Outlet underactivity
(7) A 42-year old woman with two children complains that she experiences urine leakage whenever she laughs or coughs. She is most likely experiencing _______ incontinence. (p.11-12)
(A) urge
(B) stress
(C) overflow
(D) functional
(8) Overflow incontinence is most common in older men with benign prostatic hyperplasia. (p.13)
(A) True
(B) False
(9) People with functional incontinence may have problems thinking, moving or communicating that prevent them from reaching a toilet. (p.13)
(A) True
(B) False
(10) The I-QOL is a 19 item questionnaire that assesses the psychological impact of male incontinence. (p.19)
(A) True
(B) False
(11) Which of the following statements concerning incontinence surgery is correct? (p.17-23)
(A) A transobturator tape sling procedure is typically performed on men with urge incontinence.
(B) Urethral bulking injections are most appropriate for women with overflow incontinence.
(C) Transurethral surgery is most often performed on men with overflow incontinence.
(D) Artificial urinary sphincters are primarily implanted in women with stress incontinence.
(12) Pelvic floor muscle training (PFMT), also know as _______ exercises, can improve muscle control, timing of superficial and deep layer contractions, and the pelvic floor strength. (p.23)
(A) Kashdin
(B) Hubschman
(C) Kegel
(D) Kagan
(13) Bladder training is a behavioral technique that requires the individual to resist the sensation of urgency, to postpone voiding, and to urinate according to a timetable. (p.26)
(A) True
(B) False
(14) Which of the following is NOT one of three components of prompted voiding? (p.28)
(A) Regular monitoring
(B) Prompting to toilet on a regular basis
(C) Patient self-initiative training
(D) Praise and positive feedback
(15) A _______ is a small plastic or silicone medial device which is inserted into the vagina or rectum and held in place by the pelvic floor musculature. (p.29)
(A) sternutate
(B) bulee
(C) pessary
(D) podagra
(16) Which of the following treatment combinations would be appropriate? (p.30-33)
(A) Sacral nerve stimulation and oxybutynin for stress incontinence
(B) Pessary and Proscar for urge incontinence
(C) Percutaneous tibial nerve stimulation and tolterodine for urge incontinence
(D) Biofeedback and Avodart for overflow incontinence
(17) Which of the following is NOT one of the identified causes of fecal incontinence? (p.36-38)
(A) Congenital hypertrophy of the sigmoid colon
(B) Anal spincter damage due to obstetric injury
(C) Pudendal neuropathy
(D) Descending perineum syndrome
(18) Which of the following would be an appropriate progression for treatment of fecal incontinence? (p.40)
(A) Dietary changes > biofeedback > PFMT > medication
(B) Dietary changes > medication > PFMT > surgery
(C) PFMT > dietary changes > surgery > medication
(D) Biofeedback > PFMT > dietary changes > surgery
(19) Which level of spinal cord injury would experience the greatest severity of fecal incontinence? (p.46)
(A) C6
(B) T6
(C) T11 with preserved spinal reflexes
(D) L2 with absent sacral reflexes
(20) A regimen of soap and water is the most effective way to prevent incontinence related skin breakdown. (p.48)
(A) True
(B) False
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