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MSN-FNP Genitourinary Exam Questions
Answers Updated 2024/2025
Which of the following is not considered a risk factor for urinary tract infection (UTI)
A. Intrauterine device
B. Pregnancy
C. Diabetes mellitus
D. New sexual partner - answer✔A. Intrauterine device
Explanation: IUD is not a risk factor for UTI. Risk factors for UTI include: pregnancy,
diabetes, diaphragm use, and a new sexual partner.
A 52 yo female presents with c/o urinary incontinence that has progressively gotten worse
over the last two months. She was abstinent up until six months ago when she got married.
She has a history of irregular menses for the last 12 months. The incontinence has now
progressed to the point where she leaks urine before she can make it to the bathroom.
What is the most likely diagnosis?
A. Urodynamic stress incontinence
B. Neurologic detrusor hyperreflexia
C. UTI
D. Vaginal atrophy - answer✔D. Vaginal atrophy
Explanation: The patient presents with irregular cycles over the last year, which are mostly
likely secondary to symptoms of perimenopausal with thinning of the vaginal mucosa.
What accounts for 80-90% of UTIs in pregnant women? - answer✔Escherichia coli
A 63 yo female c/o of urinary leakage. She states for the past several months she feels she
is constantly leaking small amounts of urine. She goes to the bathroom frequently but
doesn't feel she is emptying her bladder. She feels her urine stream is weak and she is
1|Page
ALL RIGHTS RESERVED.
MSN-FNP Genitourinary Exam Questions
Answers Updated 2024/2025
Which of the following is not considered a risk factor for urinary tract infection (UTI)
A. Intrauterine device
B. Pregnancy
C. Diabetes mellitus
D. New sexual partner - answer✔A. Intrauterine device
Explanation: IUD is not a risk factor for UTI. Risk factors for UTI include: pregnancy,
diabetes, diaphragm use, and a new sexual partner.
A 52 yo female presents with c/o urinary incontinence that has progressively gotten worse
over the last two months. She was abstinent up until six months ago when she got married.
She has a history of irregular menses for the last 12 months. The incontinence has now
progressed to the point where she leaks urine before she can make it to the bathroom.
What is the most likely diagnosis?
A. Urodynamic stress incontinence
B. Neurologic detrusor hyperreflexia
C. UTI
D. Vaginal atrophy - answer✔D. Vaginal atrophy
Explanation: The patient presents with irregular cycles over the last year, which are mostly
likely secondary to symptoms of perimenopausal with thinning of the vaginal mucosa.
What accounts for 80-90% of UTIs in pregnant women? - answer✔Escherichia coli
A 63 yo female c/o of urinary leakage. She states for the past several months she feels she
is constantly leaking small amounts of urine. She goes to the bathroom frequently but
doesn't feel she is emptying her bladder. She feels her urine stream is weak and she is
1|Page
