Urethrovesical Reflux Overview

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Questions and Answers

What is the term for the reflux of urine from the urethra into the bladder?

  • Urethral reflux
  • Vesicoureteral reflux
  • Urethrovesical reflux (correct)
  • Ureterovesical reflux

How does an increase in bladder pressure impact urethrovesical reflux?

  • Causes urine to flow from the bladder into the urethra (correct)
  • Prevents urine flow from the bladder into the urethra
  • Has no impact on urethrovesical reflux
  • Causes urine flow from the bladder into the kidneys

Why is urethrovesical reflux more common in postmenopausal women?

  • Due to increased urethral closure pressure (correct)
  • Menopause causes a decrease in bladder pressure
  • Hormonal changes lead to dysfunction of the bladder neck
  • The urethrovesical angle becomes less acute

What is the role of the ureterovesical junction in preventing reflux?

<p>Prevents urine from traveling back into the ureter (A)</p> Signup and view all the answers

In what population is reflux most often noted according to the text?

<p>Young children (C)</p> Signup and view all the answers

What happens if the ureterovesical valve is impaired?

<p>Urine flows from the bladder into the kidneys (A)</p> Signup and view all the answers

What term is used to describe an obstruction to free-flowing urine caused by a backward flow of urine from the urethra into the bladder?

<p>Urethrovesical reflux (B)</p> Signup and view all the answers

What effect does an increase in bladder pressure have on urethrovesical reflux?

<p>Forces urine into the bladder (A)</p> Signup and view all the answers

Which anatomical structure prevents urine from traveling back into the ureter from the bladder?

<p>Ureterovesical valve (C)</p> Signup and view all the answers

What can happen if the ureterovesical valve is impaired?

<p>Kidney damage from bacteria (C)</p> Signup and view all the answers

Why is urethrovesical reflux more common in postmenopausal women?

<p>Altered urethral angle and pressure (C)</p> Signup and view all the answers

What condition may result from reflux of urine from the bladder into one or both ureters?

<p>Kidney damage from bacteria (A)</p> Signup and view all the answers

What is the main reason why a clean-catch midstream urine specimen is used for female patients?

<p>To prevent contamination from bacteria in the urethral area (C)</p> Signup and view all the answers

Why is bacteriuria defined as 100,000 colony-forming units (CFU)/mL of urine?

<p>To ensure a significant number of bacteria are present for accurate diagnosis (D)</p> Signup and view all the answers

What is the most common route through which bacteria enter the urinary tract?

<p>Transurethral route (ascending infection) (B)</p> Signup and view all the answers

Why do sexually active women have an increased incidence of UTIs?

<p>Bacteria forced into the bladder during sexual intercourse (D)</p> Signup and view all the answers

What is the primary reason why community-acquired UTIs are more common in women?

<p>Proximity of the anus to the urethral area (D)</p> Signup and view all the answers

How does contamination of urine samples differ between men and women?

<p>Men experience less frequent contamination due to a shorter urethra (B)</p> Signup and view all the answers

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