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CBUNA Certified Urologic Associate
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Which of the following resources can be used to obtain clinical information on urogynecology?
Textbooks
Online tools and websites
aboratory test results wer: A, B
anation: Textbooks and online tools and websites are valuable resourc btaining clinical information on urogynecology. Radiology reports an atory test results may provide additional information but are not speci ogynecology.
ch of the following conditions are considered as pathophysiological fa tress urinary incontinence (SUI), overactive bladder/urgency urinary ntinence (OAB/UUI), and pelvic organ prolapse (POP)?
eakness or damage to the pelvic floor muscles ormonal imbalances
hronic constipation
Radiology reports
L
Ans
Expl es
for o d
labor fic
to ur
Whi ctors
for s inco
W
H
C
Excessive fluid intake Answer: A
Explanation: Stress urinary incontinence (SUI), overactive bladder/urgency urinary incontinence (OAB/UUI), and pelvic organ prolapse (POP) are primarily caused by weakness or damage to the pelvic floor muscles and
connective tissues. Hormonal imbalances, chronic constipation, and excessive fluid intake may contribute to bladder dysfunction but are not the primary pathophysiological factors for these conditions.
nexplained weight loss leeding
cute pain typical findings
wer: A, B, C
anation: Findings such as unexplained weight loss, bleeding, and acut elated to pelvic floor symptoms may indicate serious underlying itions and would warrant urgent referral for further evaluation. Atypic ngs should also be considered for further assessment.
ch of the following assessments are included in a basic bladder functio sment?
Which of the following findings related to pelvic floor symptoms would indicate the need for urgent referral?
U
B
A
A
Ans
Expl e
pain r
cond al
findi
Whi n
asses
Uroflow interpretation
Post void residual measurement
Urinary infection testing
Hematuria testing Answer: A, B, C
Explanation: A basic bladder function assessment includes uroflow interpretation, post void residual measurement, and testing for urinary infection. Hematuria testing is not typically included in a basic bladder function assessment.
following conditions is the most likely cause of these symptoms?
tress urinary incontinence rge urinary incontinence verflow urinary incontinence
unctional urinary incontinence wer: B
anation: Symptoms of urgency, frequency, and nocturia are characteri ge urinary incontinence, which is caused by detrusor overactivity lead voluntary contractions of the bladder muscle.
ch assessments should be included in a basic bladder function assessm roflow interpretation
A patient presents with symptoms of urgency, frequency, and nocturia. Which of the
S
U
O
F
Ans
Expl stic
of ur ing
to in
Whi ent?
U
Post void residual (straight catheter and ultrasound scanner)
Testing for urinary infection and hematuria
Evaluation of bladder capacity using cystometry Answer: A, B, C
Explanation: A basic bladder function assessment should include the
interpretation of uroflow, which measures the rate and pattern of urine flow, the measurement of post void residual using either a straight catheter or an ultrasound scanner to assess how much urine remains in the bladder after voiding, and appropriate testing for urinary infection and hematuria to rule out underlying conditions. Evaluation of bladder capacity using cystometry is more advanced and may not be included in a basic assessment.
When obtaining a comprehensive urogynecology history from women wh report pelvic floor symptoms, what should be assessed?
uality of life and symptom bother
amily history of urogynecological conditions revious surgical interventions
urrent sexual activity wer: A
anation: When obtaining a comprehensiveurogynecology history from en who report pelvic floor symptoms, it is important to assess their q e and the degree to which their symptoms bother them. This helps in rstanding the impact of the symptoms on their daily life and overall w
g. While family history, previous surgical interventions, and current se ity may also be relevant aspects to consider, assessing quality of life a ptom bother is crucial in evaluating the impact of pelvic floor sympto
o
Q
F
P
C
Ans Expl
wom uality
of lif
unde ell-
bein xual
activ nd
sym ms on
the individual.
Which components should be included in an advanced pelvic examination for evaluating pelvic floor conditions?
Neurologic components
POP-Q examination
Pelvic muscle evaluation for function and pain
Vaginal and/or rectal examination as appropriate Answer: A, B, C, D
itions should include neurologic components to assess the integrity of supply to the pelvic floor, a POP-Q (Pelvic Organ Prolapse
ntification) examination to assess the degree of pelvic organ prolapse, c muscle evaluation to assess muscle function and identify any pain o unction, and a vaginal and/or rectal examination as appropriate to furt uate specific pelvic floor structures.
-year-old woman presents to her primary care provider for a checkup. ently, she feels fine and does not have any complaints besides occasio pain. She has a history of hypertension and gout. She takes lisinopril, dipine, and allopurinol and has been stable on them. The patient's diet ly consists of fruits and vegetables. She eats fish on weekends, which and cooks for her. She has smoked one pack of cigarettes daily for the ears but has been trying to cut down. She is to undergo a colonoscopy for routine colon cancer screening. One of her friends was recently nosed with bladder cancer, and she asks the provider if she could also
Explanation: An advanced pelvic examination for evaluating pelvic floor cond the
nerve
Qua a
pelvi r
dysf her
eval
A 65
Curr nal
wrist amlo
main her
husb past
35 y next
week
diag be
screened for bladder cancer. What is the most appropriate response to this query?
Screening for bladder cancer is not recommended; offering a urinalysis might reassure the patient and reduce her anxiety.
Screening, including cystoscopy, should be done now because of her smoking history.
Screening should be done now because of her age and her request.
Screening for bladder cancer is initiated at 70 years of age for patients with a significant smoking history.
Answer: A
ure. Bladder cancer screening is not currently recommended for the ral population, including individuals with a significant smoking histor ring a urinalysis might help to reassure the patient and address her erns without subjecting her to unnecessary invasive procedures. It is rtant to provide accurate information and alleviate anxiety while adhe idence-based screening guidelines.
ch of the following management options can be considered for women mplicated pelvic floor disorders?
ehavioral therapies hysical therapies evices
urgeries
wer: A, B, C, D
Explanation: The most appropriate response in this case would be to inform the patient that screening for bladder cancer is not recommended as a routine
meas
gene y.
Offe conc
impo ring
to ev
Whi with
unco
B
P
D
S
Ans
Explanation: Women with uncomplicated pelvic floor disorders have a range of management options available to them, including behavioral therapies, physical therapies, devices, and surgeries. The specific management plan should be individualized based on the patient's preferences and values.
In the management of pelvic floor disorders, when should an urgent referral be considered?
Unexplained weight loss
Bleeding
typical findings related to pelvic floor symptoms wer: A, B, C
anation: An urgent referral should be considered in the management o c floor disorders when there are unexplained weight loss, bleeding, or pain. These symptoms may indicate underlying serious conditions th re immediate medical attention. Atypical findings related to pelvic flo ptoms may also warrant further evaluation, but they may not necessari re an urgent referral.
-year-old female presents with complaints of involuntary urine leakag ng activities such as laughing, sneezing, or exercising. The symptom is
likely due to:
tress urinary incontinence
Acute pain
A
Ans
Expl f
pelvi
acute at
requi or
sym ly
requi
A 45 e
duri most
S
Urge urinary incontinence
Overflow urinary incontinence
Functional urinary incontinence Answer: A
Explanation: Stress urinary incontinence is characterized by involuntary urine
leakage during physical activities or movements that put pressure on the bladder, such as laughing, sneezing, or exercising.
Which of the following is a risk factor for developing pelvic organ prolapse?
egular exercise oung age
ow parity (number of children) wer: A, D
anation: Obesity and high parity (having a greater number of children wn risk factors for pelvic organ prolapse. Regular exercise and young a ot typically associated with an increased risk of developing pelvic org pse.
ch of the following describes the basic normal physiology and functio omy of the pelvic floor?
he pelvic floor consists of muscles and connective tissues that support c organs and maintain continence.
Obesity
R
Y
L
Ans
Expl ) are
kno ge
are n an
prola
Whi nal
anat
T the
pelvi
The pelvic floor is primarily composed of bone structures that provide stability to the pelvis.
The pelvic floor is responsible for the production and regulation of hormones related to reproduction.
The pelvic floor plays a major role in the digestion and elimination of waste products.
Explanation: The pelvic floor consists of muscles and connective tissues that provide support to the pelvic organs, including the bladder, uterus, and rectum. The muscles of the pelvic floor help maintain continence and contribute to sexual function. They also play a role in stabilizing the pelvis and supporting the spine.
ch of the following components should be included in an advanced pel mination for evaluating pelvic floor conditions?
eurologic components OP-Q examination elvic muscle evaluation
aginal and/or rectal examination wer: A, B, C, D
anation: An advanced pelvic examination for evaluating pelvic floor itions should include neurologic components, POP-Q examination, pe cle evaluation, and vaginal and/or rectal examination as appropriate.
Whi vic
exa
N
P
P
V
Ans Expl
cond lvic
mus
Which of the following risk factors are associated with stress urinary incontinence (SUI), overactive bladder/urgency urinary incontinence (OAB/UUI), and pelvic organ prolapse (POP)?
Advanced age
Obesity
Pregnancy and childbirth
Answer: A, B, C
ased intra-abdominal pressure. A sedentary lifestyle may indirectly ibute to these conditions but is not a direct risk factor.
ng a comprehensive urogynecology history, it is important to assess th ty of life and symptom bother of the patient. Which of the following sment tools can be utilized for this purpose?
isual Analog Scale (VAS)
elvic Organ Prolapse/Urinary Incontinence Sexual Function Questionn Q)
ternational Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF)
ristol Stool Scale wer: A, B, C
Explanation: Advanced age, obesity, and pregnancy/childbirth are common risk factors associated with stress urinary incontinence (SUI), overactive bladder/urgency urinary incontinence (OAB/UUI), and pelvic organ prolapse (POP). These factors can contribute to weakened pelvic floor muscles and incre
contr
Duri e
quali asses
V
P aire
(PIS
In
B
Ans
Explanation: The Visual Analog Scale (VAS), Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ), and International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) are commonly used assessment tools to evaluate the quality of life and symptom bother in patients with pelvic floor symptoms. The Bristol Stool Scale is not specific to urogynecology and is used to assess stool consistency.