Study Notes >> Revision Questions >> Genitourinary (Preview)
Revision Questions: Genitourinary (Preview)
- List and explain the main types of urinary incontinence.
- Anticholinergics are used to treat which type of incontinence? How do they work?
- What is the most common initial adverse reaction in alpha blockers?
- What is nocturnal enuresis?
- When should drug measures be used for nocturnal enuresis?
- Types of incontinence:
- Urge incontinence - storage failure due to uninhibited contractions to bladder.
- Stress incontinence - impaired urethral support, resulting in urine loss due to increases in intra-abdominal pressure through actions such as coughing and exercise.
- Overflow incontinence - failure of voiding due to outlet obstruction or failure to contract detrusor muscles, resulting in urinary retention.
- Anticholinergics are mainly used in urge incontinence.
- The most common initial reaction that occurs in alpha blockers is dizziness upon standing.
- Nocturnal enuresis is the involuntary loss of urine by an individual during night time. It is normal in young children but is concerning if it persists beyond a certain age in which bladder control is considered to be fully achieved.
- Drug treatment such as desmopressin should only be used when alternative non-drug treatments such as bed wetting alarms and bladder training have failed.
The full version has many more questions with answers included.