ACTUAL Questions and CORRECT
Answers
Signs and symptoms of renal calculi - CORRECT ANSWER -• Renal Colic (+ CVA Tenderness),
intense flank pain
• Severe pain (+/- Nausea and Vomiting)
• Hematuria, cloudy urine, painful urination
• Urinary retention
incontinence - CORRECT ANSWER -inability to control bladder and/or bowels
Types of incontinence - CORRECT ANSWER -1. Stress
Loss of small amounts of urine from increased abdominal pressure without bladder muscle contraction
with laughing, sneezing, or lifting.
2. Urge
Inability to stop urine flow long enough to reach the bathroom due to an overactive detrusor muscle with
increased bladder pressure,
3. Overflow
Urinary retention from bladder over-distention and frequent loss of small amounts of urine due to
obstruction of the urinary outlet or an impaired detrusor muscle.
4. Reflex
Involuntary loss of a moderate amount of urine usually without warning due to hyperrflexia, of the
detrusor muscle, usually from spinal cord dysfunction.
5. Functional
Loss of urine due to factors that interfere with responding to the need to urinate such as cognitive,
mobility, and environmental barriers.
, 6. Total
Unpredictable, involuntary loss of urine that generally does not respond to treatment,
Tests to diagnose incontinence - CORRECT ANSWER -Urinalysis, Bladder Diary, Post void
residual measurement, cystoscopy, Ultrasound
Treatment for incontinence - CORRECT ANSWER --bladder training
-scheduled toileting
-fluid/diet management
-pelvic muscle exercises (stress and urge)
-pharmacological interventions
-surgery
Patient education for incontinence - CORRECT ANSWER -Urinate only every 3 to 6 hours to "re-
train" your bladder.
Know that consumption of diuretics, antidepressants, antihistamines, and cough-cold preparations
exacerbates urinary incontinence.
Eat fruits, vegetables, and whole grains daily to prevent constipation.
Stop smoking (nicotine irritates the bladder).
Patient education for urolethiasis - CORRECT ANSWER -Limit the amount of salt (sodium) in
your diet. Eat a balanced diet that is not too high in protein. Limit foods that are high in a substance called
oxalate, which can cause kidney stones. These foods include dark green vegetables, rhubarb, chocolate,
wheat bran, nuts, cranberries, and beans.
Treatment for BPH - CORRECT ANSWER -TURP (transurethral resection of the prostate)
terazosin (Hytrin), doxazosin (Cardura), tamsulosin (Flomax), alfuzosin (Uroxatral), and silodosin
(Rapaflo).
Prostatic Urethral Lift or Water Vapor Therapy