Understanding Urinary Incontinence and Obesity Correlation
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Questions and Answers

What should Joan, a patient with constipation following an L4 spinal cord injury, be encouraged to do?

  • Decrease the anorectal angle to help empty fecal matter
  • Decrease the anorectal angle to help store feces better
  • Increase anorectal angle to help store fecal matter better
  • Increase anorectal angle to help empty fecal matter better (correct)
  • What kind of information would you like a patient with urinary frequency and nocturia to collect on a bladder diary?

  • Measured volumes of in and out bladder sensations
  • 0 to 4 type of fluid intake
  • All of the above (correct)
  • None of the above
  • Based on the diary with 3500ml total urine output per day, 3 nocturia, and bladder sensations ranging from 1 to 3, what is your assessment?

  • This represents normal urine output volume for a 45-year-old male
  • Global polyuria with normal bladder sensations
  • Global polyuria with abnormal bladder sensations (correct)
  • Slightly elevated urine output which is normal for a person who is always thirsty
  • In the frail elderly, which bladder diagnosis is the least common?

    <p>Stress UI</p> Signup and view all the answers

    What is the primary reason the patient is experiencing urinary incontinence?

    <p>Straining with exercise</p> Signup and view all the answers

    Which factor is NOT mentioned as a risk factor for urinary incontinence in the patient's situation?

    <p>Regular exercise</p> Signup and view all the answers

    What was the outcome observed in research studies when women with high BMI experienced a 5-10% body weight loss combined with lifestyle changes?

    <p>Significant reduction in UI rate</p> Signup and view all the answers

    Which statement about the external anal sphincter is TRUE?

    <p>It is associated with passive fecal incontinence</p> Signup and view all the answers

    Which structure provides support for the external anal sphincter?

    <p>Perineal body</p> Signup and view all the answers

    What type of fecal incontinence is associated with weakness of the external anal sphincter?

    <p>Urge fecal incontinence</p> Signup and view all the answers

    Which condition is characterized by chronic vulvar discomfort, stinging, and feeling raw 'down there' with no visible lesions?

    <p>Vulvodynia</p> Signup and view all the answers

    Where are pelvic floor muscle trigger points typically found?

    <p>Only in the deepest muscle layer</p> Signup and view all the answers

    In patients with CP/CPPS, what is the most common frequency of suprapubic TENS used for pain relief?

    <p>50 Hz</p> Signup and view all the answers

    What is the range for normal average voided volume?

    <p>300 to 400 ml</p> Signup and view all the answers

    Which anatomy is included in the vestibule?

    <p>Urethral/vaginal openings, hymen, Skene’s and Bartholin’s glands</p> Signup and view all the answers

    What is the BEST delivery position for a pregnant woman who presents with numbness and tingling in both lower extremities?

    <p>Forward bending over a ball or support</p> Signup and view all the answers

    Which position should a 37-week pregnant woman with anterior pelvic pain avoid during delivery?

    <p>Upright kneel</p> Signup and view all the answers

    A pregnant woman with positive Straight Leg Raise test (LaSegue’s test) is advised to deliver using which position?

    <p>Lithotomy</p> Signup and view all the answers

    In the context of pelvic girdle pain, which position should a 30-week pregnant woman avoid during delivery?

    <p>Quadruped</p> Signup and view all the answers

    Which position would be NOT recommended for a 36-week pregnant woman with pain worse while ambulating downstairs than up?

    <p>Squatting</p> Signup and view all the answers

    For a 24-year-old pregnant woman with coccyx pain treated using Thiele’s massage, which delivery position is NOT suitable?

    <p>Quadruped</p> Signup and view all the answers

    What is the most likely diagnosis for Sally, a 45-year-old business executive with suprapubic pain related to bladder filling and urinary frequency?

    <p>Bladder pain syndrome</p> Signup and view all the answers

    How does mental illness relate to bowel and bladder dysfunction?

    <p>Mental illness indirectly affects bowel and bladder function</p> Signup and view all the answers

    What is a common misconception about pelvic floor muscle myofascial pain?

    <p>It does not occur in men</p> Signup and view all the answers

    Which statement about surface EMG using a vaginal sensor is true?

    <p>It is used for diagnosing complex neurological dysfunction of the PFM</p> Signup and view all the answers

    What should be the course of action for a patient inappropriate for pelvic PT?

    <p>Refer back to the MD</p> Signup and view all the answers

    For pain relief in patients with CP/CPPS, what is the most common frequency of suprapubic TENS used?

    <p>50 Hz</p> Signup and view all the answers

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