Nr 601 Final Exam Review – Questions With Fully
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Terms in this set (272)
Most common type of UI in men and Men is urgency and women is stress
women?
What is urge UI? Feeling of needing to go right away. Rush to the bathroom.
What is stress UI? Sneezing, coughing, laughing, pressure.
What is mixed incontinence? Both stress and urgency
Risk factors for UI? Female, obesity, dm, depression, stroke, fecal incontinence,
hysterectomy.
What is the first line therapy for most older Behavioral therapy
patients with UI?
What does behavioral therapy include for Weightloss, stop caffeinated beverages and alcohol, minimize
UI? fluid intake at night, stop smoking,loop diuretics should be
taken in afternoon. Bladder trainings, kegal exercises, and
prompted voiding.
Which med can be used for OAB? S/e? Myrbetriq; can cause high BP.
What medications can be used for urge Detrol (tolterodine), ditropan (oxybutinin)
incontinence and OAB? What are their These are anticholinergics/antimuscarinics
class?
Antimuscarinics and anticholinergics should Patients with dementia or cognitive impairment
be avoided in which patients?according to
BEERS criteria
What is the gold standard treatment for Surgery
women with stress incontinence?
What is the only evidenced based lifetsyle Weight loss
intervention for for moderately obese
younger older women with UI?
,Treatment of UI in older persons should be Step wise process. Stating with addressing first comorbidities
be proceeded how? and medications, then lifestyle interventions, behavioral
treatment, pharmacological treatment, minimally invasive
procedures or surgeries.
Management of UI should focus on what? The most bothersome factors
All patients with UI should be screened for? Functional status and depression.
ex? Functional impairment can be assessed by timed up and go
and minicog test
Urinary frequency may reflect what ? High fluid intake, and or use of caffeinated drinks or alcohol.
Acute onset of UI or the presence of Red flag symptoms. For underlying neurologic or neoplastic
Suprapubic, lower abdominal, or pelvic pain disease. Requires immediate referral to neuro, uro, gyno.
are what kind of symptoms? What should be
done?
What is the key difference between UI in UI may be precipitated or worsened by outside factors of
younger and older persons? urinary tract, including meds, mobility, environment,
mentation, manual dexterity.
What is an assessment tool for UI bother Urogenital distress index 6, min dif in score is 5/11
and quality of life? And can be used to
assess for the effect of treatment?
What kind of therapy is most efficacious for Both behavioral and drug therapy. Than either alone
UI?
Morbidity with UI are? Skin breakdown, falls. Fractures
Symptoms of UTI? Dysuria, frequency, urgency, hematuria
UTI is the most common infection seen in Older adults in nursing homes, or hospitals.
who?
Asymptomatic bacteriuria increases with? Age and debility
For older adults, treatment should not be Common symptoms can mimic other diseases
initiated only based on symptoms... why?
Post menopausal women may also complain Low back pain, nocturia, incontinence, and constipation.
of?
Why is bacteruria and UTI so common in There are conditions or diseases that lead to alterations in
older adults? normal flora, urinary stasis and obstruction as we age.
Shifts in perineal flora and ph bc if estrogen deficiency
occurs.
Urinary stasis and obstruction can occur due to normal aging,
which can lead to increased UTI.
Urethra orifice can also be contaminated.
What is the UA results for UTI? Positive for nitrates and leukocytes + symptoms present
What are common signs and Symptoms of Change in mental Status and characteristics of urine
UTI in LTC?
What is not a useful indicator for UTI? Presence of pyuria >10 WBC
, What other diseases can show presence of Nephrolithiasis, IBD, diverticulitis, intro abdominal abscess
pyuria ( >10)?
Treatment of dirty urine in the older adult Not beneficial
population with asymptomatic bacteria is?
What is uncomplicated UTI? A healthy person w/o a catheter and no Symptoms of
polynephritis.it is directed to E. coli
Treatment for uncomplicated UTI? Bactrim ds BID x 3 days (avoid if prior UTI in last 3 months or
resistance to sulfas)
Nitrofurantoin 100 mg BID x 5 days
Fosfomycin 3g one dose. Has a lower efficacy
Complicated UTI is what? UTIs in people with Urinary tract abnormalities, UTIs in men,
catheters, symptoms of polynephritis
How are complicated UTIs treated? Based on urine culture results
Empiric ATB use, and then narrow down once cultures return
Bactrim DS BID x 14 days
Ciprofloxacin 500mg BID x7 days
Levofloxacin 750mg daily x7 days
After a UTI, follow up samples urine should Symptoms of infection persist or recur to verify if a secondary
only be obtained if? infection with a new organism resistant to therapy has
emerged during the treatment
The use of nitro furantoin is limited in who? In older adults bc of contraindications in patients with renal
insufficiency.
What meds are not indicated for Fosfomycin and nitrofurantoin
polynephritis?
How can topical estrogens reduce the risk It helps normalize vaginal ph and restores flora
of recurrent UTIs in older women.
?
Cranberry juice can reduce bacteriuria in By inhibiting the binding of gram negative bacilli to
older women how? uroepithelial cells
BPH incidence? More than half of men over the age of 65 and affects most
men older than 85.
Storage or irritative symptoms of BPH? Nocturia, urgency, frequency, incontinence
Voiding or obstructive symptoms of BPH? Slow stream, slitting, spraying, intermittent stream, straining.
What is the screening tool used for BPH to International prostate symptom score IPSS.
quantify the severity of LUTS? Incomplete emptying, frequency, intermittency, urgency, weak
stream, straining, nocturia.
0-7 mild
8-19 moderate
20-35 severe
What exam is an essential assessment for DRE. Posterior lobe can be palpated through the rectum
BPH? during DRE
Explained Solutions
Save
Students also studied
WSC 2026: Are we there yet? SS10 Nationalism FRE L4
Teacher 156 terms Teacher 25 terms Teacher 421 terms
Amy_Woodall4 Preview Alicia_Zents Preview CoreGlossaries
Terms in this set (272)
Most common type of UI in men and Men is urgency and women is stress
women?
What is urge UI? Feeling of needing to go right away. Rush to the bathroom.
What is stress UI? Sneezing, coughing, laughing, pressure.
What is mixed incontinence? Both stress and urgency
Risk factors for UI? Female, obesity, dm, depression, stroke, fecal incontinence,
hysterectomy.
What is the first line therapy for most older Behavioral therapy
patients with UI?
What does behavioral therapy include for Weightloss, stop caffeinated beverages and alcohol, minimize
UI? fluid intake at night, stop smoking,loop diuretics should be
taken in afternoon. Bladder trainings, kegal exercises, and
prompted voiding.
Which med can be used for OAB? S/e? Myrbetriq; can cause high BP.
What medications can be used for urge Detrol (tolterodine), ditropan (oxybutinin)
incontinence and OAB? What are their These are anticholinergics/antimuscarinics
class?
Antimuscarinics and anticholinergics should Patients with dementia or cognitive impairment
be avoided in which patients?according to
BEERS criteria
What is the gold standard treatment for Surgery
women with stress incontinence?
What is the only evidenced based lifetsyle Weight loss
intervention for for moderately obese
younger older women with UI?
,Treatment of UI in older persons should be Step wise process. Stating with addressing first comorbidities
be proceeded how? and medications, then lifestyle interventions, behavioral
treatment, pharmacological treatment, minimally invasive
procedures or surgeries.
Management of UI should focus on what? The most bothersome factors
All patients with UI should be screened for? Functional status and depression.
ex? Functional impairment can be assessed by timed up and go
and minicog test
Urinary frequency may reflect what ? High fluid intake, and or use of caffeinated drinks or alcohol.
Acute onset of UI or the presence of Red flag symptoms. For underlying neurologic or neoplastic
Suprapubic, lower abdominal, or pelvic pain disease. Requires immediate referral to neuro, uro, gyno.
are what kind of symptoms? What should be
done?
What is the key difference between UI in UI may be precipitated or worsened by outside factors of
younger and older persons? urinary tract, including meds, mobility, environment,
mentation, manual dexterity.
What is an assessment tool for UI bother Urogenital distress index 6, min dif in score is 5/11
and quality of life? And can be used to
assess for the effect of treatment?
What kind of therapy is most efficacious for Both behavioral and drug therapy. Than either alone
UI?
Morbidity with UI are? Skin breakdown, falls. Fractures
Symptoms of UTI? Dysuria, frequency, urgency, hematuria
UTI is the most common infection seen in Older adults in nursing homes, or hospitals.
who?
Asymptomatic bacteriuria increases with? Age and debility
For older adults, treatment should not be Common symptoms can mimic other diseases
initiated only based on symptoms... why?
Post menopausal women may also complain Low back pain, nocturia, incontinence, and constipation.
of?
Why is bacteruria and UTI so common in There are conditions or diseases that lead to alterations in
older adults? normal flora, urinary stasis and obstruction as we age.
Shifts in perineal flora and ph bc if estrogen deficiency
occurs.
Urinary stasis and obstruction can occur due to normal aging,
which can lead to increased UTI.
Urethra orifice can also be contaminated.
What is the UA results for UTI? Positive for nitrates and leukocytes + symptoms present
What are common signs and Symptoms of Change in mental Status and characteristics of urine
UTI in LTC?
What is not a useful indicator for UTI? Presence of pyuria >10 WBC
, What other diseases can show presence of Nephrolithiasis, IBD, diverticulitis, intro abdominal abscess
pyuria ( >10)?
Treatment of dirty urine in the older adult Not beneficial
population with asymptomatic bacteria is?
What is uncomplicated UTI? A healthy person w/o a catheter and no Symptoms of
polynephritis.it is directed to E. coli
Treatment for uncomplicated UTI? Bactrim ds BID x 3 days (avoid if prior UTI in last 3 months or
resistance to sulfas)
Nitrofurantoin 100 mg BID x 5 days
Fosfomycin 3g one dose. Has a lower efficacy
Complicated UTI is what? UTIs in people with Urinary tract abnormalities, UTIs in men,
catheters, symptoms of polynephritis
How are complicated UTIs treated? Based on urine culture results
Empiric ATB use, and then narrow down once cultures return
Bactrim DS BID x 14 days
Ciprofloxacin 500mg BID x7 days
Levofloxacin 750mg daily x7 days
After a UTI, follow up samples urine should Symptoms of infection persist or recur to verify if a secondary
only be obtained if? infection with a new organism resistant to therapy has
emerged during the treatment
The use of nitro furantoin is limited in who? In older adults bc of contraindications in patients with renal
insufficiency.
What meds are not indicated for Fosfomycin and nitrofurantoin
polynephritis?
How can topical estrogens reduce the risk It helps normalize vaginal ph and restores flora
of recurrent UTIs in older women.
?
Cranberry juice can reduce bacteriuria in By inhibiting the binding of gram negative bacilli to
older women how? uroepithelial cells
BPH incidence? More than half of men over the age of 65 and affects most
men older than 85.
Storage or irritative symptoms of BPH? Nocturia, urgency, frequency, incontinence
Voiding or obstructive symptoms of BPH? Slow stream, slitting, spraying, intermittent stream, straining.
What is the screening tool used for BPH to International prostate symptom score IPSS.
quantify the severity of LUTS? Incomplete emptying, frequency, intermittency, urgency, weak
stream, straining, nocturia.
0-7 mild
8-19 moderate
20-35 severe
What exam is an essential assessment for DRE. Posterior lobe can be palpated through the rectum
BPH? during DRE
