Evidenced based pr6 (1).pdf

Evidenced based pr6 Total Questions - 46 Remember (11 Questions) Q1. What intervention must healthcare providers prescribe for symptoms of urgency urinary incontinence, urinary urgency, and/or urinary f...

Evidenced based pr6 Total Questions - 46 Remember (11 Questions) Q1. What intervention must healthcare providers prescribe for symptoms of urgency urinary incontinence, urinary urgency, and/or urinary frequency? A. Transcutaneous tibial nerve neuromodulation B. Behavioral interventions C. Pelvic floor muscle training programs D. Transvaginal neuromodulation Q2. For which symptoms should healthcare providers use low frequency transcutaneous tibial nerve electrical stimulation in the absence of contraindications for electrical stimulation? A. Stress urinary incontinence B. Urgency urinary incontinence, urinary urgency, and/or urinary frequency C. Overactive bladder syndrome D. Constipation Q3. Which interventions for urgency urinary incontinence, urinary urgency, and/or urinary frequency are supported by evidence quality I and grade of recommendation A? A. Medications B. Behavioral interventions C. Weight loss D. Pelvic floor muscle training programs Q4. Whom should consider low frequency transvaginal electrical stimulation for symptoms of urgency urinary incontinence, urinary urgency, and/or urinary frequency in the 1  absence of contraindications for electrical stimulation? A. Healthcare providers B. Patients C. Both A and B D. Pediatric patients Q5. How can patients and healthcare providers address constipation to reduce symptoms of urgency urinary incontinence, urinary urgency, and/or urinary frequency? A. Lifestyle modifications B. Pelvic floor muscle training programs C. Mindfulness-based stress reduction (MBSR) D. Constipation management Q6. Where must bladder retraining, dietary and fluid modification, and urge suppression techniques be prescribed? A. Stress urinary incontinence patients B. Urgency urinary incontinence, urinary urgency, and/or urinary frequency patients C. Patients with overactive bladder syndrome D. Children with urinary incontinence Q7. Which lifestyle modification should be considered to reduce symptoms of urgency urinary incontinence, urinary urgency, and/or urinary frequency in those with a body mass index (BMI) > 25 kg/m2? A. Weight loss B. Mindfulness-based stress reduction (MBSR) C. Constipation management 2  D. Fall risk management Q8. In what form are the levels of evidence and the recommendations presented in the clinical practice guideline (CPG)? A. In the form of tables B. In the form of images C. In the form of videos D. In the form of graphs Q9. Which guidelines are based on expert opinion and provided as best practice? A. Lifestyle modifications B. Urge suppression techniques C. Behavioral interventions D. Fall risk management Q10. When should pelvic floor muscle training programs be prescribed for symptoms of urgency urinary incontinence, urinary urgency, and/or urinary frequency? A. After the contraction quality has been confirmed B. Before the contraction quality has been confirmed C. Only during pregnancy D. Only when other interventions fail Q11. How should healthcare providers address patients with urgency urinary incontinence, urinary urgency, and/or urinary frequency regarding medication intake and pelvic health rehabilitation? A. Inform patients of the importance of combining medication with pelvic health rehabilitation 3  B. Discuss the side effects of medication intake C. Provide written information on medication intake D. Suggest alternative treatments Understand (9 Questions) Q12. How would you differentiate between behavioral interventions and pelvic floor muscle training in the context of urgency urinary incontinence, urinary urgency, and/or urinary frequency? A. Behavioral interventions are focused on bladder retraining, dietary modification, and urge suppression techniques, while pelvic floor muscle training is focused on strengthening the pelvic floor muscles. B. Pelvic floor muscle training is focused on bladder retraining, dietary modification, and urge suppression techniques, while behavioral interventions are focused on strengthening the pelvic floor muscles. C. Behavioral interventions are low frequency transcutaneous tibial nerve electrical stimulation and low frequency transvaginal electrical stimulation, while pelvic floor muscle training is bladder retraining, dietary modification, and urge suppression techniques. D. Pelvic floor muscle training is low frequency transcutaneous tibial nerve electrical stimulation and low frequency transvaginal electrical stimulation, while behavioral interventions are bladder retraining, dietary modification, and urge suppression techniques. Q13. How would you generalize the recommendations for treating urgency urinary incontinence, urinary urgency, and/or urinary frequency based on the evidence quality and grade of recommendation? A. The recommendations with the highest evidence quality and grade of 4  recommendation are behavioral interventions and pelvic floor muscle training. B. The recommendations with the lowest evidence quality and grade of recommendation are medication and healthcare provider's best practice. C. The recommendations with the highest evidence quality and grade of recommendation are medication and transcutaneous tibial nerve neuromodulation. D. The recommendations with the lowest evidence quality and grade of recommendation are behavioral interventions and pelvic floor muscle training. Q14. How can you infer from the abstract that weight loss is a viable treatment option for urgency urinary incontinence, urinary urgency, and/or urinary frequency? A. Weight loss is recommended as a best practice based on expert opinion. B. Weight loss is recommended as a grade B intervention based on evidence quality II. C. Weight loss is recommended as a grade C intervention based on evidence quality IV. D. Weight loss is recommended as a grade C intervention based on expert opinion. Q15. How would you identify the levels of evidence and grades of recommendation in the context of the abstract? A. The levels of evidence are based on the quality of the evidence, while the grades of recommendation are based on the strength of the evidence. B. The levels of evidence are based on the quantity of the evidence, while the grades of recommendation are based on the quality of the evidence. C. The levels of evidence are based on the quality of the evidence, while the grades of recommendation are based on the quantity of the evidence. D. The levels of evidence are based on the quantity of the evidence, while the grades of recommendation are based on the quantity of the evidence. 5 Q16. How would you clarify the meaning of electrical stimulation in the context of treating urgency urinary incontinence, urinary urgency, and/or u A. Electrical stimulation refers to the use of low frequency transcutaneous tibial nerve electrical stimulation and low frequency transvaginal electrical stimulation. B. Electrical stimulation refers to the use of medication and healthcare provider's best practice. C. Electrical stimulation refers to the use of bladder retraining, dietary modification, and urge suppression techniques. D. Electrical stimulation refers to the use of weight loss and mindfulness-based stress reduction. Q17. What would happen if transvaginal neuromodulation is contraindicated for treating urgency urinary incontinence, urinary urgency, and/or urinary frequency? A. Medication and transcutaneous tibial nerve neuromodulation should be prescribed instead. B. The healthcare provider should consider weight loss and mindfulness-based stress reduction. C. The healthcare provider should consider referring the patient to a specialist for further evaluation. D. The healthcare provider should inform the patient that there is limited evidence to support any effective treatment options. Q18. What did you observe about the differences in recommendations for treatment options based on the evidence quality and grade of recommendation for urgency urinary incontinence, urinary urgency, and/or urinary frequency? A. The recommendations with the highest evidence quality and grade of recommendation are behavioral interventions and pelvic floor muscle training. 6  B. The recommendations with the lowest evidence quality and grade of recommendation are weight loss and mindfulness-based stress reduction. C. The recommendations with the highest evidence quality and grade of recommendation are medication and healthcare provider's best practice. D. The recommendations with the lowest evidence quality and grade of recommendation are low frequency transcutaneous trowal nerve electrical stimulation and low frequency transvaginal electrical stimulation. Q19. How would you describe the steps taken to develop the clinical practice guidelines for treating urgency urinary incontinence, urinary urgency, and/or urinary frequency based on the abstract? A. Five electronic databases were used to search for scientific literature published from January 1, 1995 to June 30, 2017, and critical readers formally assessed the procured articles, with the authors collaborating to establish the levels of evidence and create the recommendations. B. A literature search was conducted on Google Scholar and the authors reviewed and summarized the articles to create the recommendations. C. The authors surveyed healthcare providers to determine the most effective treatment options for urgency urinary incontinence, urinary urgency, and/or urinary frequency, and then created the recommendations based on the results. D. The authors reviewed and analyzed the National Institute for Health and Care Excellence guidelines for treating urgency urinary incontinence, urinary urgency, and/or urinary frequency, and then created the recommendations based on their findings. Q20. What would happen if a healthcare provider failed to address constipation to reduce symptoms of urgency urinary incontinence, urinary urgency, and/or urinary frequency? 7  A. The patient's symptoms may not improve or may worsen. B. The patient may experience adverse side effects from medication. C. The patient may develop a bladder infection. D. The patient may experience falls and injuries. Apply (9 Questions) Q21. How would you implement behavioral interventions to address symptoms of urgency urinary incontinence, urinary urgency, and/or urinary frequency in adult women? Q22. How would you design a pelvic floor muscle training program for adult women with symptoms of urgency urinary incontinence, urinary urgency, and/or urinary frequency? Q23. Can you group by characteristics such as therapeutic effect and level of evidence the interventions recommended for the treatment of urgency urinary incontinence, urinary urgency, and/or urinary frequency in adult women? Q24. How would you modify the treatment plan for a patient with urgency urinary incontinence, urinary urgency, and/or urinary frequency who also has constipation? Q25. Which factors would you change if a patient with urgency urinary incontinence, urinary urgency, and/or urinary frequency has a BMI greater than 25 kg/m2? Q26. How would you use behavioral interventions to address symptoms of urgency urinary incontinence, urinary urgency, and/or urinary frequency? A. By avoiding pelvic floor muscle training B. By prescribing bladder retraining, dietary & fluid modification, and urge suppression techniques 8  C. By increasing fluid intake D. By ignoring the symptoms Q27. How would you implement pelvic floor muscle training for symptoms of urgency urinary incontinence, urinary urgency, and/or urinary frequency? A. By prescribing pelvic floor muscle training programs when contraction quality has been confirmed B. By avoiding pelvic floor muscle training C. By prescribing medication D. By ignoring the symptoms Q28. How would you modify the treatment approach for a patient with urgency urinary incontinence, urinary urgency, and/or urinary frequency who has a BMI > 25 kg/m2? A. By ignoring the BMI B. By considering weight loss as a treatment option C. By prescribing medication D. By avoiding pelvic floor muscle training Q29. How would you develop a treatment plan for a patient with urgency urinary incontinence, urinary urgency, and/or urinary frequency? A. By only prescribing medication B. By using a multifaceted approach including behavioral interventions, pelvic floor muscle training, and lifestyle modifications C. By ignoring the symptoms D. By avoiding pelvic floor muscle training Analyze (5 Questions) 9 Q30. What can you infer about the body of evidence for interventions specific to urgency urinary incontinence (UUI), urinary urgency, and/or urinary frequency compared to stress urinary incontinence? Q31. What ideas validate the need for the clinical practice guideline (CPG) presented in the abstract? Q32. How would you explain the purpose of the CPG presented in the abstract? Q33. What can you infer about the recommendations provided in the CPG? Q34. What can you point out about the methodology used in the development of the CPG? Evaluate (6 Questions) Q35. What criteria would you use to assess the level of evidence for the interventions recommended in this clinical practice guideline? Q36. What sources could you use to verify the effectiveness of behavioral interventions and pelvic floor muscle training for symptoms of urgency urinary incontinence, urinary urgency, and/or urinary frequency? Q37. What information would you use to prioritize the interventions recommended in this clinical practice guideline? Q38. What changes would you recommend to the clinical practice guideline to improve its usefulness for healthcare providers and patients? Q39. Do you believe that the recommendations in this clinical practice guideline are supported by sufficient evidence? Q40. How effective are the recommended interventions for the treatment of urinary urge incontinence, urinary urgency, and urinary frequency in adult women? Create (6 Questions) 10 Q41. How would you design a plan to inform readers of the current evidence for physical therapy intervention of urgency urinary incontinence, urinary urgency, and/or urinary frequency? Q42. What changes would you make to revise the recommendations for rehabilitation interventions of urgency urinary incontinence, urinary urgency, or urinary frequency in adult women? Q43. How would you test the effectiveness of behavioral interventions and pelvic floor muscle training for symptoms of urgency urinary incontinence, urinary urgency, and/or urinary frequency? Q44. How would you generate a list of new interventions for rehabilitation of urgency urinary incontinence, urinary urgency, or urinary frequency in adult women? Q45. Can you devise a proposal that would identify areas in which further research is needed for the intervention of urgency urinary incontinence, urinary urgency, and/or urinary frequency in adult women? Q46. How would you design a plan to address constipation and fall risk management for patients with urgency urinary incontinence, urinary urgency and/or urinary frequency? 11