Genitourinary

Question 1

Pain c defecation, irregular mental cycles, pelvic or low back pain before or during menstruation, and possible infertility

Answer 1

Endometriosis

Question 2

These are signs and symptoms of what condition pelvic pressure that increases with exertion urgency frequency urinary incontinence incomplete bladder emptying discomfort vaginal dryness or irritation and low back pain that is relieved by lying down

Answer 2

Uterine prolapse

Question 3

25-85% of men with diabetes have?

Answer 3

ED

Question 4

Anemia renal osteodystrophy sleep disorders and amyloidosis are signs and symptoms of what?

Answer 4

Hemodialysis

Question 5

PT implications for pt’s with renal failure/dialysis

Answer 5

Potential dehydration and hypotension post dialysis, mobilization activities are contraindicated during dialysis, monitor vital signs closely but avoid placement of blood-pressure cuff over the fistula

Question 6

This condition occurs when there is damage to the cerebral control that allows for urinary dysfunction. If the urine cannot be properly released, there may be an increase in urinary track infection and kidney damage

Answer 6

Neurogenic bladder

Question 7

Incontinence due to detrusor muscle overactivity and changes in the smooth muscle of the bladder

Answer 7

Urge urinary incontinence

Due to conditioned reflex - key in the door and running water most common

Question 8

A loss of urine when the intra-bladder pressure exceeds the urethral capacity to remain closed due to urinary retention?

Answer 8

Overflow urinary incontinence - caused by outflow obstruction secondary to a narrowed or obstructed urethra that results from a prolapsed pelvic organ, a stricture, an enlarged prostate, chronic constipation or neurological disease

Difficulty initiating a stream and dribbling after cessation of stream

Question 9

Inc frequency of urination, pain and burning with urination, cloudy urine, pressure above the pubic bone in women, shakiness, fever, back pain, and fatigue are signs and symptoms of what?

Answer 9

Urinary tract infections UTI- pt are encouraged to drink an access of fluids, along side of bacteria specific antibiotics, to assist with treatment of the infection

Question 10

After birth the joint between the coccyx and sacrum can become hyper-mobile causing the soft tissue surrounding the coccyx to become painful

Answer 10

Coccydynia- diff with sitting, referred pain to low back, si hip buttock, groin or rectum areas pain c BM

Question 11

The PT much note a greater than the width of _____ fingers separation when the women lifts her head and shoulders off the plinth in order to classify a diastasis recti

Answer 11

Greater than 2 finger

Question 12

What may occur with pregnant women during pregnancy from pressure on the IVC

Answer 12

Hypotension

Question 13

Women are encouraged to exercise at a moderate rate for approximately 30 minutes per session at what % of their HRmax?

Answer 13

50-60%

Question 14

PT implications for pregnant women

Answer 14

Monster HR intermittently
Non weight bearing activities are preferred due to continuous change in the COG
Loose clothing, adequate fluids are required during exercise
Avoid supine exercise after the first trimester

Question 15

Etiology of severe back pain may include ?

Answer 15

Pregnancy induced osteoporosis, disk disease or herniated disk, vertebral osteoarthritis, and septic arthritis

Question 16

What are the recommendations for pelvic floor muscle exercises

Answer 16

80-100 contractions per day combining quick, long hold, and functional contractions.

Quick are important to withstand inc intra-abdominal pressure - begin with quick 3 sets of 10 quick contractions holding for 2 sec resting for 4 secs

Long hold contractions are for endurance for maiming posture and pelvic support

Question 17

Severe anemia, unevaluated cardiac dysrhythmias, chronic bronchitis, poorly controlled type 1 diabetes, extremes of BMI, history of extremely sedentary life style, heavy smoker, poorly controlled hypertension

All
Are what?

Answer 17

Relative contraindications for exercise during pregnancy

Question 18

6 absolute contraindications for exercise during pregnancy

Answer 18

Hemodynamically significant HD
Restrictive lung disease 
Incompetent cervix
At risk for premature labor
Persistent second or throw trimester bleeding
Pregnancy induced hypertension

Question 19

What position is the position of choice to reduce the pressure on the IVC, maximize CO to enhance maternal and fetal circulation, and reduce the risk of incompetent cervix

Answer 19

L side lying

Question 20

Risk of abdominal exercises during pregnancy

Answer 20

Risk of uterine contractions- the therapist should modify or discontinue the exercises

Question 21

Less than 100 ml of urine output in 24 hrs

Answer 21

Anuria

Question 22

Bulging of the bladder into the vagina

Answer 22

Cystocele

Question 23

Implementation of a fertilized ovum outside of the uterus ( most likely the Fallopian tube)

Answer 23

Ectopic

Question 24

An estimate of the filtrating capacity of the kidneys

Answer 24

Glomerular filtration rate

Question 25

Condition of developing kidney stones

Answer 25

Nephrolithiasis

Question 26

Less than 400ml of urine output in 24 hrs

Answer 26

Oliguria

Question 27

Large volume of urine excreted at once

Answer 27

Polyuria

Question 28

Bulging of the anterior wall of the rectum into the vagina secondary to the weakening of the pelvic support structures

Answer 28

Rectocele

Question 29

Major nitrogen containing end product of protein metabolism normally cleared from the blood by the kidneys into the urine

Answer 29

Urea

Question 30

Voiding for than 8 times in a 24 hr period

Answer 30

Urinary frequency

Question 31

Hormone replacement therapy for menopausal symptom benefits

Answer 31

Reduction in hot flash frequency, improvement I’m atrophic vaginitis and UTI, prevention of osteoporosis and fractures, and inhibit progression of CVD

Risk for PE, stroke, DVT, gallbladder disease, small inc in breast cancer chance

Question 32

What is the development of endometrial tissue which normally lines the uterus in extrauterine locations within the abdomen and pelvis. Most common sight is the uterosacral ligaments

Answer 32

Endometriosis