WEB WOC Continence Care.
Questions with Correct Verified
Answers. Latest 2026-2027. Graded A
1: reduce bladder spasms and exposure to bladder irritants -
ANS*eliminate UTI
*limit caffeine, alcohol, carbonated beverages, spicy foods
*do not overly restrict fluid intake
*urge suppression training
*bladder drill training
*anticholinergics, antimuscarinics, beta-3 adrenergic agonists, topical
estrogen
*botox
*neuromodulation (sacral or tibial)
*bladder augmentation
2: optimize sphincter function and coaptation - ANS*bowel management
(clear impaction and prevent constipation)
*penile urethral occlusive device
*topical estrogen
*periurethral bulking injections
*artificial urinary sphincter
3: optimize pelvic floor muscle support and function - ANS*pelvic floor
muscle training
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,2
*biofeedback assisted PFM training
*KNACK
*weight management
*weighted vaginal cones
*vaginal pessary
*electrical stimulation
*surgery (sling procedure)
4 causes of fecal incontinence - ANS1: altered stool consistency and
volume
2: alterations in ability to recognize rectal filling and rectal contents
3: compromised sphincter function
4: compromised rectal capacity and compliance
4: eliminate/reduce bladder outlet obstruction - ANS*vaginal pessaries
*alpha adrenergic antagonists, 5 alpha reductase inhibitors
*surgery to reduce BOO
5 factors that promote continence - ANS1: colonic transit, stool volume, and
consistency
2: sensory awareness
3: sphincter competence
4: rectal compliance and capacity
5: extrinsic factors
5: restore bladder tone and contractility - ANS*alpha adrenergic agonist,
topical estrogen
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6: modify environment to facilitate safe/efficient response to urge -
ANS*maximize toilet access
*well fitting/non-skid shoes
*modify clothes if dexterity problems
*remove tripping hazards
7 goals of controlled voiding - ANS1: reduce bladder spasms and exposure
to bladder irritants
2: optimize sphincter function and coaptation
3: optimize pelvic floor muscle support and function
4: eliminate/reduce bladder outlet obstruction
5: restore bladder tone and contractility
6: modify environment to facilitate safe/efficient response to urge
7: facilitate timely and complete emptying
7: facilitate timely and complete emptying - ANS*toileting programs
*double voiding
*trigger voiding in neurologic disorders
*clean intermittent catheterization
*urinary diversion surgery
abdominal leak point pressure - ANSperformed during the filling CMG to
determine the intra-abdominal pressure needed to push urine out in a
partially closed sphincter. This test is used to determine severity of stress
urinary incontinence (SUI) especially identifying the patient with ISD
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