SBA questions - UROGYNAECOLOGY

Some SBA questions to support your revision.

Question

A healthy 47 year old woman complains of urinary incontinence

A) If she has mixed urinary incontinence, initial treatment should be directed towards stress urinary incontinence

B) Constant urinary leakage may indicate bladder malignancy

C) Hesitancy and nocturia are voiding symptoms

D) Sensation of incomplete emptying and post-micturiction dribbling are post-micturiction symptoms               

E) Haematuria is an indication for treatment with broad-spectrum antibiotics

Question

A healthy 45 year old woman presents with urinary incontinence

A) If she has stress urinary incontinence and no other symptoms, there is a 90% chance she has urodynamic stress urinary incontinence

B) If she has urgency urinary incontinence and no other symptoms, there is a 90% chance she has detrusor over-activity

C) If she has stress and urgency urinary incontinence, there is a 10% chance she has detrusor over-activity

D) If she does not have urgency urinary incontinence, there is a 10% chance she has detrusor over-activity                 

E) If she does not have stress urinary incontinence, there is a 10% chance she has urodynamic stress incontinence

Question

A 67 year old woman has been referred because of urinary incontinence

A) If she does not report mixed urinary incontinence, there is a 10% chance she will be found to have urodynamic stress incontinence plus detrusor over-activity on multichannel cystometry                    

B) If she does not report pure urgency incontinence, there is a 1-2% chance she will be found to have detrusor over-activity on multichannel cystometry

C) If she does not report pure urinary stress incontinence, there is a 1-2% chance she will be found to have urodynamic stress incontinence on multichannel cystometry

D) If she reports mixed urinary incontinence, there is a 90% chance she will be found to have urodynamic stress incontinence plus detrusor over-activty on multichannel cystometry

E) If she reports urgency incontinence but no other symptoms, there is a 90% chance she will be found to have detrusor over-activity on multichannel cystometry

Question





A 38 year old woman has been referred with urinary incontinence. Which one is the most appropriate management?

A.    Symptoms of UTI but urine dipstick negative: MSU for culture and start antibiotics

B.    No symptoms of UTI but urine dipstick positive: MSU for culture and consider antibiotics

C.   No symptoms of UTI and urine dipstick negative: MSU for culture but no antibiotics

D.   Symptoms of UTI and urine dipstick positive: MSU for culture and start antibiotics                      

E.    Symptoms of UTI but urine dipstick negative: Start antibiotics but no MSU for culture

Question

A 40 year old woman presents with urinary incontinence. An assessment of post-void residual volume should be undertaken if

A.    She has stress urinary incontinence

B.    She has mixed stress and urgency urinary incontinence

C.   She has recurrent urinary tract infections                       

D.   She has previously undergone incontinence surgery

E.    She has not completed her family

Question

Assessment of post-void residual volume in women with urinary incontinence

A.    Is recommended if the woman gives a history of hesitancy               

B.    Is recommended if the woman gives a history of haematuria

C.   Should be performed by in-out catheterization rather than ultrasound scanning

D.   Should not be performed in women with a history of recurrent UTIs

E.    If less than 50 ml should prompt referral to a specialist

Question

With respect to lifestyle advice for women with urinary incontinence

A.    Women with stress incontinence and a BMI over 30 should be advised to lose weight

B.    Women with urgency incontinence and a BMI over 30 should be advised to lose weight                       

C.   Women with stress incontinence should be advised to reduce caffeine intake

D.   Women with stress incontinence should be advised to reduce their level of exercise

E.    Women with stress incontinence should be advised to reduce fluid intake

Question

With respect to the use of pelvic floor muscle training in the management of urinary incontinence

A.    Pelvic floor muscle training should continue for at least 3 months in women with urgency urinary incontinence

B.    Pelvic floor muscle training should be offered to women in their first pregnancy to prevent urinary incontinence                  

C.   Pelvic floor muscle training should comprise at least 8 contractions per minute

D.   Pelvic floor muscle training should not be offered to women with mixed urinary incontinence

E.    Electrical stimulation should not be used during pelvic floor muscle training

Question

A 45 year old woman complains of urinary frequency and nocturia. She is particularly troubled by the need to wake up several times a night to pass urine. Which one is a recommended treatment?

A.    Duloxetine

B.    Desmopressin    

C.   Flavoxate

D.   Propantheline

E.    Imipramine

Question

A healthy 56 year old woman presented with urinary urge incontinence. She has been treated with oral oxybutynin + bladder re-training and her symptoms have improved. How frequently should she be reviewed by her general practitioner?

A.   Every month

B.   Every 3 months

C.  Every 6 weeks

D.  Every 6 months   

E.   Every year          

Question

In women with detrusor over-activity

A.   Botulinum toxin A has been shown to significantly reduce self-reported number of episodes of urgency per day

B.   Botulinum toxin A has been shown to significantly improve incontinence-specific quality of life       

C.  Botulinum toxin B is more effective than Botulinum toxin A

D.  Botulinum toxin A is not significantly better than placebo in improving continence status

E.   The dose of botulinum toxin A is calculated per square metre of body surface area

Question

With respect to percutaneous sacral nerve stimulation

A.   The procedure has been shown to be effective in the management of urodynamic stress incontinence

B.   Electrodes are placed on the skin overlying the sacrum

C.  Sacral nerve roots S1 and S2 are stimulated

D.  Test stimulation is undertaken for a few minutes before the permanent device is implanted

E.   Test stimulation is undertaken for a few days before the permanent device is implanted    

Question

Percutaneous posterior tibial nerve stimulation

A.    Is the same as transcutaneous posterior tibial nerve stimulation

B.    Should not be offered to women with detrusor over-activity

C.   Delivers neurostimulation to the S 2, 3, 4 roots of the sacral plexus    

D.   Uses surface electrodes placed over the posterior tibial nerve at the ankle

E.    Uses surface electrodes placed over the posterior tibial nerve at the knee

Q1  A

Q2  A

Q3  A

Q4  D

Q5  B

Q6  A

Q7  A

Q8   A

Q9  E

Q10  D

Q11  A

Q12 E

Q13  C

Q1)A

Q2)A

Q3)E

Q4)D

Q5)C

Q6)A

Q7)D

Q8)C

Q9)B

Q10)A

q11)B

Q12)E

Q13)A

Some SBA questions to support your revision.

Question

A healthy 47 year old woman complains of urinary incontinence

A) If she has mixed urinary incontinence, initial treatment should be directed towards stress urinary incontinence F

B) Constant urinary leakage may indicate bladder malignancy T

C) Hesitancy and nocturia are voiding symptoms F

D) Sensation of incomplete emptying and post-micturiction dribbling are post-micturiction symptoms    T           

E) Haematuria is an indication for treatment with broad-spectrum antibiotics F

Question

A healthy 45 year old woman presents with urinary incontinence

A) If she has stress urinary incontinence and no other symptoms, there is a 90% chance she has urodynamic stress urinary incontinence T

B) If she has urgency urinary incontinence and no other symptoms, there is a 90% chance she has detrusor over-activity T

C) If she has stress and urgency urinary incontinence, there is a 10% chance she has detrusor over-activity T

D) If she does not have urgency urinary incontinence, there is a 10% chance she has detrusor over-activity     F            

E) If she does not have stress urinary incontinence, there is a 10% chance she has urodynamic stress incontinence F

Question

A 67 year old woman has been referred because of urinary incontinence

A) If she does not report mixed urinary incontinence, there is a 10% chance she will be found to have urodynamic stress incontinence plus detrusor over-activity on multichannel cystometry    T                

B) If she does not report pure urgency incontinence, there is a 1-2% chance she will be found to have detrusor over-activity on multichannel cystometry F

C) If she does not report pure urinary stress incontinence, there is a 1-2% chance she will be found to have urodynamic stress incontinence on multichannel cystometry F

D) If she reports mixed urinary incontinence, there is a 90% chance she will be found to have urodynamic stress incontinence plus detrusor over-activty on multichannel cystometry T

E) If she reports urgency incontinence but no other symptoms, there is a 90% chance she will be found to have detrusor over-activity on multichannel cystometry  T

Question





A 38 year old woman has been referred with urinary incontinence. Which one is the most appropriate management?

A.    Symptoms of UTI but urine dipstick negative: MSU for culture and start antibiotics F

B.    No symptoms of UTI but urine dipstick positive: MSU for culture and consider antibiotics F

C.   No symptoms of UTI and urine dipstick negative: MSU for culture but no antibiotics F

D.   Symptoms of UTI and urine dipstick positive: MSU for culture and start antibiotics T                     

E.    Symptoms of UTI but urine dipstick negative: Start antibiotics but no MSU for culture F

Question

A 40 year old woman presents with urinary incontinence. An assessment of post-void residual volume should be undertaken if

A.    She has stress urinary incontinence  F

B.    She has mixed stress and urgency urinary incontinence F

C.   She has recurrent urinary tract infections                       T

D.   She has previously undergone incontinence surgery T

E.    She has not completed her family F

Question

Assessment of post-void residual volume in women with urinary incontinence

A.    Is recommended if the woman gives a history of hesitancy        T       

B.    Is recommended if the woman gives a history of haematuria F

C.   Should be performed by in-out catheterization rather than ultrasound scanning F

D.   Should not be performed in women with a history of recurrent UTIs F

E.    If less than 50 ml should prompt referral to a specialist F

Question

With respect to lifestyle advice for women with urinary incontinence

A.    Women with stress incontinence and a BMI over 30 should be advised to lose weight T

B.    Women with urgency incontinence and a BMI over 30 should be advised to lose weight           T            

C.   Women with stress incontinence should be advised to reduce caffeine intake F

D.   Women with stress incontinence should be advised to reduce their level of exercise F

E.    Women with stress incontinence should be advised to reduce fluid intake F

Question

With respect to the use of pelvic floor muscle training in the management of urinary incontinence

A.    Pelvic floor muscle training should continue for at least 3 months in women with urgency urinary incontinence F

B.    Pelvic floor muscle training should be offered to women in their first pregnancy to prevent urinary incontinence       T           

C.   Pelvic floor muscle training should comprise at least 8 contractions per minute T

D.   Pelvic floor muscle training should not be offered to women with mixed urinary incontinence F

E.    Electrical stimulation should not be used during pelvic floor muscle training T

Question

A 45 year old woman complains of urinary frequency and nocturia. She is particularly troubled by the need to wake up several times a night to pass urine. Which one is a recommended treatment?

A.    Duloxetine F

B.    Desmopressin    T

C.   Flavoxate F

D.   Propantheline F

E.    Imipramine F

Question

A healthy 56 year old woman presented with urinary urge incontinence. She has been treated with oral oxybutynin + bladder re-training and her symptoms have improved. How frequently should she be reviewed by her general practitioner?

A.   Every month F

B.   Every 3 months F

C.  Every 6 weeks F

D.  Every 6 months   T

E.   Every year           F     

Question

In women with detrusor over-activity

A.   Botulinum toxin A has been shown to significantly reduce self-reported number of episodes of urgency per day T

B.   Botulinum toxin A has been shown to significantly improve incontinence-specific quality of life       T

C.  Botulinum toxin B is more effective than Botulinum toxin A F

D.  Botulinum toxin A is not significantly better than placebo in improving continence status F

E.   The dose of botulinum toxin A is calculated per square metre of body surface area T

Question

With respect to percutaneous sacral nerve stimulation

A.   The procedure has been shown to be effective in the management of urodynamic stress incontinence T

B.   Electrodes are placed on the skin overlying the sacrum T

C.  Sacral nerve roots S1 and S2 are stimulated F

THESE ARE SBA QUESTIONS - THERE IS ONLY ONE CORRECT ANSWER!!