Pharm II - women's health exam
1. stress incontinence: urethral sphincter cannot maintain resistance under stress
sneezing, straining, jumping
2. urge incontinence: bladder overactivity due to inappropriate M3 activation of the detrusor muscle
3. overflow incontinence: urethral overactivity
BPH
4. is urgency associated with urge or stress incontinence: urge incontinence always
stress incontinence sometimes
5. is leaking during physical activity associated with urge or stress incontinence-
: stress incontinence
6. do people with urge/stress incontinence have the ability to reach the toilet in
time when they need to pee: with urge incontinence they do not make it in time or barely
with stress incontinence they can make it in time
1/5
, 7. nocturia associated with urge or stress incontinence: urge
8. medications that might impact urinary functions: diuretics
sedative hypnotics
antipsychotics
CCBs
narcotics
ACEi
alpha agonists/antagonists
9. nonpharmacologic treatments for stress incontinence: first line over pharm interven-
tions
lifestyle changes: fluids, caffeine, smoking, weight loss
pelvic floor rehab
toilet scheduling
devices
absorbency products
10. first line for stress incontinence: estrogens - topical therapy to improve urethral tone
11. is there any FDA approved meds for stress incontinence: NO
2/5
1. stress incontinence: urethral sphincter cannot maintain resistance under stress
sneezing, straining, jumping
2. urge incontinence: bladder overactivity due to inappropriate M3 activation of the detrusor muscle
3. overflow incontinence: urethral overactivity
BPH
4. is urgency associated with urge or stress incontinence: urge incontinence always
stress incontinence sometimes
5. is leaking during physical activity associated with urge or stress incontinence-
: stress incontinence
6. do people with urge/stress incontinence have the ability to reach the toilet in
time when they need to pee: with urge incontinence they do not make it in time or barely
with stress incontinence they can make it in time
1/5
, 7. nocturia associated with urge or stress incontinence: urge
8. medications that might impact urinary functions: diuretics
sedative hypnotics
antipsychotics
CCBs
narcotics
ACEi
alpha agonists/antagonists
9. nonpharmacologic treatments for stress incontinence: first line over pharm interven-
tions
lifestyle changes: fluids, caffeine, smoking, weight loss
pelvic floor rehab
toilet scheduling
devices
absorbency products
10. first line for stress incontinence: estrogens - topical therapy to improve urethral tone
11. is there any FDA approved meds for stress incontinence: NO
2/5
