Gender Healthcare Exam #2
Terms in this set (67)
What term is the involuntary loss of urine that is a social or hygienic problem and is objectively demonstrable?
____ in ___ women over age 18 have urinary incontinence.
1 in 4 women
What are the 4 requirements for urinary continence?
1. Intact CNS and PNS
2. Development of Inhibition of Reflex arch in the detrusor motor area
3. Key Neurological Areas
4. Bradley's Loop 3
What autonomic nervous system levels control the sympathetic system and "Stops and Stores"
What autonomic nervous system levels control the parasympathetic and allows you
_____ drops of urine are produced per minute.
_____-_____ ml is the capacity of urine in the bladder.
The first sensation to void occurs when the bladder is ___ to ___ full.
1/3 to 1/2 full
Peak capacity is achieved when the ____________ is stretched to its limit.
What are the 6 types of urinary incontinence?
2. Urge Incontinence
3. Stress Incontinence
5. Overflow Incontinence
6. Functional Incontinence
What urinary incontinence is the abrupt and strong urge to urinate, but no positive leak?
What urinary incontinence is the involuntary loss of urine associated with a strong desire to void?
What are the 3 typical triggers for urge incontinence?
2. Running Water
3. Key in Door
What urinary incontinence is the involuntary loss of urine with any activity that increases abdominal pressure?
What are 6 typical triggers of stress incontinence?
What are the 5 causes of stress incontinence?
3. Valsalva effect
What urinary incontinence is the involuntary loss of urine associated with over distension of the bladder?
What is the main cause of Overflow Incontinence?
Neurologic- bladder overfills with no sensation to void
What urinary incontinence is the involuntary leakage secondary to the inability to dress, transport, or transfer to the toilet?
Muscle strength for the pelvic floor is determined by the Laylock PERFECT scale consisting of what 4 components?
4. Fast-Twitch Ability
What score for Pelvic Floor Muscle Strength is no palpable contraction?
What score for Pelvic Floor Muscle Strength is a flicker contraction?
What score for Pelvic Floor Muscle Strength is a contraction felt, but no lift of examination finger?
What score for Pelvic Floor Muscle Strength is a palpable contraction and lift of examination finger from posterior to anterior?
What score for Pelvic Floor Muscle Strength is a strong contraction and lift with compression from anterior, posterior, and side walls?
What score for Pelvic Floor Muscle Strength is a stronger lift and compression with inferior deflection of the finger?
What is the goal of diaphragmatic breathing?
Normal tone of pelvic floor and experience less urges
What are 6 types of food/drinks patient's with urinary incontinence should avoid?
3. Acidic Fruit Juices
5. Spicy Foods
6. Sugar/Artificial Sweetners
What training regimen for urinary incontinence is when patients are trying to slowly increase interval of urination by 15 minutes per week until 4 hours is achieved?
What is the success rate for vaginal weights in patients with urinary incontinence?
What are the 2 types of medications that help relax the detrusor and prevent activation of contraction of bladder?
1. Anti-Cholinergic Agents
2. Tricyclic Anti-Depressants
What boundary of the anal triangle consists of a line joining the ischial tuberosities and superficial transverse perineal?
What boundary of the anal triangle consists of the coccyx, sacrotuberous ligament and gluteus maximus?
The Anal canal is ____ cm long.
Internal hemorrhoids are varicosities of the _____________ rectal veins.
External hemorrhoids are varicosities of the ______________ rectal veins.
The External Anal Sphincter is under (Voluntary/Involuntary) Control.
The Internal Anal Sphincter is under (Voluntary/Involuntary) Control.
The internal anal sphincter relaxes with ____________________________ stimulation and contracts with ______________________ stimulation.
What muscle forms a sling at the junction of the rectum and anal canal?
What angle is formed between the axis of the rectum and the anal canal?
What is the normal Anorectal Angle?
The Anorectal Angle increases with due to what 4 reasons?
2. Hip flexion past 90 degrees
3. Voluntary Muscle Relaxation
4. Puborectalis Weakness
What reflex moves contents from the stomach to the intestines?
The small intestines include what 3 sections?
Most of digestion occurs in what section of the small intestines?
What is the pathway of food/liquid in the large intestines (colon)?
Ileocecal Valve --> Ascending Colon --> Transverse Colon --> Descending Colon --> Sigmoid Colon
If liquid is sensed in the anal canal, the external sphincter tone increases or decreases?
What condition occurs when a person has loose stool for more 3 times per day?
What condition occurs when a person strains to pass stool and their frequency of bowel movements is less than twice a week?
Constipation can also cause what type of pain?
Low Back Pain
On the Bristol Stool Chart, what type of stool is described as "separate hard lumps, like nuts, and is hard to pass"?
On the Bristol Stool Chart, what type of stool is described as "sausage shaped, but lumpy"?
On the Bristol Stool Chart, what type of stool is described as "like a sausage, but with cracks on its surface"?
On the Bristol Stool Chart, what type of stool is described as "like a sausage or snake, smooth and soft"?
On the Bristol Stool Chart, what type of stool is described as "soft blobs with clear-cut edges, and are passed easily"?
On the Bristol Stool Chart, what type of stool is described as "fluffy pieces with ragged edges, a mushy stool"?
On the Bristol Stool Chart, what type of stool is described as "watery, no solid pieces, entirely liquid"?
What defecation test measures the pressures of the anal sphincter muscles, the rectum, and neural reflexes needed for normal bowel movements?
What defecation test is the most significant predictor of functional outcome after sphincter repair?
Pudendal Nerve Latency Test
What are the 4 causes of fecal incontinence?
1. Sphincter Failure
2. Fecal Movement Disorders
3. Cognitive Impairment
What are 3 presentations of fecal movement disorder?
1. Inflammatory Bowel Disease
What are 3 cognitive impairments that could cause anal incontinence?
3. Intellectual Disability
What are the 2 causes of Urge Anal Incontinence?
1. External anal sphincter dysfunction
2. Decreased rectal capacity
What type of anal incontinence occurs via involuntary loss without awareness and is caused by either low resting tone, sensation damage, or reflex damage?
Passive Anal Incontinence
What type of anal incontinence is when leakage of stool occurs after a bowel movement with normal continence and evacuation, and is often caused by a rectocele?
Fecal Seepage Incontinence
What are the 3 treatment options for anal incontinence treatment?
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