WEB WOC CONTINENCE EXAM WITH
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+
Save
Terms in this set (106)
encopresis a disorder characterized by repeated stool
evacuation in inappropriate places in children
over the age of four
primary: children who never reached continence
secondary: children who reached continence for
at least a year and are now relapsed
sympathetic nervous system role involuntary
When the rectum is empty, the SNS inhibits the
contraction of the rectal wall, and contracts the
internal anal sphincter (IAS) to prevent leakage
parasympathetic nervous system when the rectum is filled post mass transit, it
role stretches and the PNS sends information to the
CNS to coordinate bowel elimination. The rectum
then contracts in conjunction with the ENS and
the IAS relaxes. Feces then moves down the anal
canal to the external anal sphincter (EAS)
,enteric nervous system The intrinsic nervous system within the bowel
wall. This system responds to a variety of stimuli
and generates peristalsis
rectoanal inhibitory reflex the involuntary relaxation of the IAS when the
rectum is stretched that allows feces to move
down anal canal
sampling reflex when rectal contents contact Anoderm
(receptors at distal anal canal) for differentiation
allows squamous epithelium below the Denate
Line with sensory receptors that differentiate
between solid, liquid, gaseous rectal contents
anal wink with cotton swab, swipe at 5 and 7 o'clock on the
buttocks with the patient in the modified
lithotomy position
a focused physical exam that assesses prostate
and pelvic muscle control and verifies function of
pudendal nerve
bulbocavernosus reflex in modified lithotomy position, squeeze penis
glans to verify external anal sphincter wink or
flick the clitoris in females
a focused physical exam that assesses prostate
and pelvic muscle control and verifies function of
pudendal nerve
5 factors that promote continence 1: colonic transit, stool volume, and consistency
2: sensory awareness
3: sphincter competence
4: rectal compliance and capacity
5: extrinsic factors
, secretory diarrhea The absorptive capacity of the bowel is
overwhelmed by the volume of water and
electrolytes that are secreted into it
osmotic (absorptive) diarrhea inadequate or reduced absorption of the bowel
functional (motility) diarrhea Increased motility results in decreased contact
time of the stool with the lumen and intestinal
mucosa
external anal sphincter composed of smooth muscle that maintains
sphincter tone (contraction) and striated muscle
that permits voluntary control/contractility
parasympathetic nervous system part of the autonomic nervous system that acts to
promote colonic peristalsis and motility activity
sympathetic nervous system part of the autonomic nervous system that acts to
reduce intestinal motility and secretions
soluble fiber foods that contain soluble fiber have the ability to
absorb and retain water
*use to help resolve diarrhea
insoluble fiber foods that contain insoluble fiber add bulk to the
stool and do not absorb water
*use to help resolve constipation
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+
Save
Terms in this set (106)
encopresis a disorder characterized by repeated stool
evacuation in inappropriate places in children
over the age of four
primary: children who never reached continence
secondary: children who reached continence for
at least a year and are now relapsed
sympathetic nervous system role involuntary
When the rectum is empty, the SNS inhibits the
contraction of the rectal wall, and contracts the
internal anal sphincter (IAS) to prevent leakage
parasympathetic nervous system when the rectum is filled post mass transit, it
role stretches and the PNS sends information to the
CNS to coordinate bowel elimination. The rectum
then contracts in conjunction with the ENS and
the IAS relaxes. Feces then moves down the anal
canal to the external anal sphincter (EAS)
,enteric nervous system The intrinsic nervous system within the bowel
wall. This system responds to a variety of stimuli
and generates peristalsis
rectoanal inhibitory reflex the involuntary relaxation of the IAS when the
rectum is stretched that allows feces to move
down anal canal
sampling reflex when rectal contents contact Anoderm
(receptors at distal anal canal) for differentiation
allows squamous epithelium below the Denate
Line with sensory receptors that differentiate
between solid, liquid, gaseous rectal contents
anal wink with cotton swab, swipe at 5 and 7 o'clock on the
buttocks with the patient in the modified
lithotomy position
a focused physical exam that assesses prostate
and pelvic muscle control and verifies function of
pudendal nerve
bulbocavernosus reflex in modified lithotomy position, squeeze penis
glans to verify external anal sphincter wink or
flick the clitoris in females
a focused physical exam that assesses prostate
and pelvic muscle control and verifies function of
pudendal nerve
5 factors that promote continence 1: colonic transit, stool volume, and consistency
2: sensory awareness
3: sphincter competence
4: rectal compliance and capacity
5: extrinsic factors
, secretory diarrhea The absorptive capacity of the bowel is
overwhelmed by the volume of water and
electrolytes that are secreted into it
osmotic (absorptive) diarrhea inadequate or reduced absorption of the bowel
functional (motility) diarrhea Increased motility results in decreased contact
time of the stool with the lumen and intestinal
mucosa
external anal sphincter composed of smooth muscle that maintains
sphincter tone (contraction) and striated muscle
that permits voluntary control/contractility
parasympathetic nervous system part of the autonomic nervous system that acts to
promote colonic peristalsis and motility activity
sympathetic nervous system part of the autonomic nervous system that acts to
reduce intestinal motility and secretions
soluble fiber foods that contain soluble fiber have the ability to
absorb and retain water
*use to help resolve diarrhea
insoluble fiber foods that contain insoluble fiber add bulk to the
stool and do not absorb water
*use to help resolve constipation
