Campbell-Walsh Urology 11th Edition Review by W. Scott McDougal MD MA (HON) & Alan J. Wein MD PhD (HON) FACS & Louis R. Kavoussi MD MBA & Alan Partin MD PhD & Craig A. Peters MD

Author:W. Scott McDougal, MD, MA (HON) & Alan J. Wein, MD, PhD (HON), FACS & Louis R. Kavoussi, MD, MBA & Alan Partin, MD, PhD & Craig A. Peters, MD
Language: eng
Format: epub
ISBN: 9780323339193
Publisher: Elsevier
Published: 2015-09-21T16:00:00+00:00

74

Urinary Incontinence and Pelvic Prolapse

Epidemiology and Pathophysiology

Gary E. Lemack; Jennifer Tash Anger

Questions

1. An example of a sign of lower urinary tract (LUT) dysfunction is:

a. incontinence while playing tennis.

b. urodynamic stress incontinence with Valsalva leak point pressure (VLPP) of 60 cm H2O.

c. a symptom score of 19 on AUA Symptom Index.

d. the finding of urinary incontinence on supine stress test.

e. the presence of stage 2 anterior pelvic organ prolapse on cystogram.

2. Which of the following is most consistent with the diagnosis of mixed urinary incontinence?

a. Leakage of urine with coughing and a VLPP of 60 cm H2O

b. Leakage of urine with urgency and detrusor overactivity incontinence

c. Leakage of urine while coughing and detrusor leak point pressure of 50 cm H2O

d. Leakage of urine while coughing and leakage of urine with urgency

e. Leakage of urine and feces while straining

3. The most common form of urinary incontinence (UI) in a woman aged 40 years is:

a. stress incontinence.

b. urgency incontinence.

c. mixed incontinence.

d. detrusor overactivity incontinence.

e. continuous incontinence.

4. A 73-year-old white woman is G2P2 with two prior cesarean deliveries. She is taking glucophage. She has a 20-pack-year smoking history. The aspect of her history that does NOT predispose her to the development of stress urinary incontinence (SUI) is:

a. her age.

b. her race.

c. mode of delivery.

d. history of depression.

e. smoking history.

5. Remission of incontinence would most likely to be noted in a:

a. 42-year-old woman.

b. 41-year-old man.

c. 65-year-old woman.

d. 73-year-old man.

e. 74-year-old woman.

6. The symptom most closely associated with the presence of advanced pelvic organ prolapse is the sensation of:

a. pelvic pressure.

b. pelvic pain.

c. constipation.

d. voiding difficulty.

e. vaginal bulge.

7. Which of the following Pelvic Organ Prolapse Quantification System (POP-Q) scores is implausible?

a. Aa of − 2

b. Ap of + 4

c. Ba of + 5

d. Bp of 0

e. C of − 7

8. A woman with POP-Q scores of Aa − 1, Ba − 1, C − 5, Ap + 1, Bp + 2 would be considered to have what stage prolapse?

a. Stage 0

b. Stage 1

c. Stage 2

d. Stage 3

e. Stage 4

9. A patient with a POP-Q score of Aa + 2, Ba + 2, Ap − 2, Bp − 2, and C 0 should be counseled to undergo:

a. anterior colporrhaphy.

b. posterior colporrhaphy.

c. anterior and posterior colporrhaphy.

d. anterior colporrhaphy and sacrospinous fixation.

e. sacrospinous fixation.

10. During bladder storage, which is (are) most quiescent?

a. pelvic nerve

b. hypogastric nerve

c. pudendal nerve

d. A delta nerves

e. Onuf nucleus