23 Questions
What is the primary neurotransmitter that activates the lower urinary tract?
Acetylcholine
Which neurotransmitter, when overstimulated, can lead to unwanted urinary retention?
Norepinephrine
What role do beta-3 adrenergic receptors play in the lower urinary tract?
Relax the detrusor muscle
Inappropriate contractions of the detrusor muscle before the bladder is full can lead to which symptom?
Urinary incontinence
Which type of urinary incontinence can occur in patients with cognitive deficits such as dementia?
Functional incontinence
What can disturbances in neural regulation or conduction (brain, spinal cord, pelvic nerves) affect in terms of lower urinary tract functions?
Urethral pressure maintenance
What is the first-line treatment for urinary incontinence?
Lifestyle modifications and behavioral interventions
Which of the following medications can exacerbate urinary retention?
Antihistamines
In what type of urinary incontinence is surgical treatment usually considered when other therapies fail?
Stress urinary incontinence
Which nonpharmacologic intervention involves voiding on a fixed schedule, typically every 2 hours while awake?
Voiding schedule regimens
What type of device can be used for urinary incontinence that responds to wetness?
Pant alarms
Which treatment modality for urinary incontinence involves lifestyle modifications such as weight loss and smoking cessation?
Lifestyle modifications
What type of urinary incontinence is characterized by brief bursts of leakage during activities such as exercise, running, lifting, coughing, and sneezing?
Stress incontinence
Which risk factor is NOT commonly associated with stress urinary incontinence in women?
Prostate cancer
What is a common risk factor for overflow incontinence?
Multiple sclerosis
How is overflow incontinence diagnosed?
By assessing postvoid residual urine via imaging or catheterization
What is a common cause of bladder underactivity leading to overflow incontinence?
Chronic bladder outlet obstruction in men
Which type of urinary incontinence is characterized by leakage associated with urgency to avoid?
Urge incontinence
What is the goal of pharmacological treatment for Stress Urinary Incontinence (SUI)?
Enhance bladder storage
Which medication is an alpha-agonist used for treatment of Stress Urinary Incontinence?
Pseudoephedrine
Which side effect is commonly associated with the use of anticholinergic medications for Overactive Bladder?
Constipation
What is the mechanism of action of B3 agonists in treating Overactive Bladder?
Relax detrusor muscle to enhance bladder storage
Which medication is commonly used as a third-line treatment for Overactive Bladder if pharmacotherapy fails?
Botox (Onabotulinum toxin A)
Test your knowledge on the treatment of urinary incontinence, including nonpharmacologic treatment modalities. Learn about the primary conditions that can lead to overflow incontinence and medications that may exacerbate urinary retention. Explore lifestyle modifications and nonpharmacologic interventions for managing urinary incontinence.
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