Non MSK, Incontinence, Sexuality

Question 1

what is the 2nd leading cause of death among candians

Answer 1

heart disease

Question 2

has number of new heart disease been increasing or decreasing

Answer 2

bw 2001-13 heart disease has declined and death rate down by 23%

Question 3

things to do to reduce risk of heart disease

Answer 3

not smoking
staying physically active
eating healthy diet
maintaining healthy weight
limiting alcohol use

Question 4

Why is it thought that heart disease rates are decreasing among candaians

Answer 4

early detection and better management of the condition and conditions leading to heart disease

Question 5

signs of a stroke

Answer 5

severe headache
sudden numbnesss or weakness in face/arms/legs
condufsion or trouble understanding speech

Question 6

non modifiable risk factors of stroke

Answer 6

age
gender (m>w but more w die)
ethnic origin
Fam hx
prior stroke or tia

Question 7

modifiable risk factors of stroke (+ mc)

Answer 7

hypertension (mc)
high blood cholesterol
Irregular heartbeat
diabetes
drug abuse
overweight

Question 8

A stroke survivor has what % chance of having another stroke or Tia in the next 2 years

Answer 8

20% chace

Question 9

what are the triad of symtoms that patient might be experiencing with VAD in progress

Answer 9

• Spontaneous onset of severe upper cervical pain
• severe headache that was distinctly different from patient migraine headaches
• brainstem related neuro symtoms

Question 10

what is dyspepsia

Answer 10

indigestion, discomfort or pain in upper abdomen
common after eating/drinking

s/s- bloating, discomfort, feeling too full, nausea, gas

Question 11

tx for dyspepsia

Answer 11

tx for dyspepsia really depends on the cause/severity

• avoiding trigger foods
• drinking water
• limiting intake or caffein/alcohol
• smaller meals
• eating slower
• maintenence of mod weight

Question 12

pharmacological management of dyspepsia

Answer 12

antacids
h2receptor antagonsist (more elective then antacids)
proton pump inhibitor (reduce prod of stomach acid)
prokinetics (boost mvmt thru stomach)
antibiotics
antidepresents

Question 13

complications of dyspepsia

Answer 13

severe stomach pain
changes in bowel mvmt
frequent vommiting
blood in stools
unexplained weight loss
etc etc

*any of the above refer to GP

Question 14

what constitutes gerd

Answer 14

mild acid reflex that occurs atleast twice a week or moderate to severe that occurs at least once a week

Question 15

risk factors for GERD

Answer 15

obesity
hiatal hernia
preg
connective tissue disorders 
delayed stomach emptying

Question 16

factors that aggrevate GERD

Answer 16

smoking
eating large meals
eating late at night
certain foods
certain bevy
certain meds (aspirin)

Question 17

Complications of gerd

Answer 17

• Narrowing of esophagus, esophageal structure
• An esophageal ulcer
• Barrets esophagus

Question 18

what is stress incontinence

Answer 18

leak urine when you sneeze, cough, laugh, lift, jum

Question 19

what is urgency incontinence

Answer 19

overactive bladder, when u leak urine after a strong urge to go (8 or more times a day or more than once a day)

Question 20

What is overflow incontinence

Answer 20

you may leak urine once bladder is full (mc in men)

Question 21

who is mixed incontinence mc in

Answer 21

W

Question 22

what is functional incontenence

Answer 22

when a med condition prevents you from getting to the washroom on time (arthritis/stenosis etc)

Question 23

lifestyle changes to help incontinence

Answer 23

drinking enough water/staying hydrated
watching what you eat/drink
losing weight may help
quitting smoking

Question 24

skin care + incontinence

Answer 24

are more likely to have skin issues around the hips, butt and genetics from constant exposure to wetness

• -keep skin clean and dry
• -create moisture barrier by applying creams or ointments that contain zinc oxide, lanolin or petrolatum

Question 25

What % of w have quit physical activity due to urinary incontinacne

Answer 25

20% of w may contribute to other diseases such as osteoperosis, hypertension, coronary artery disease

Question 26

more than 1/3 of inf in nursing homes are what

Answer 26

UTIs

Question 27

Symptoms of UTI

Answer 27

(older adults dont always show classical signs) - Urethral bring w urination - pelvic pain - frequent urination

Question 28

primary cause of UTI

Answer 28

Ecoli

Question 29

things that put u at an increased risk of getting UTI

Answer 29

``` Hx of UTI Dementia Catherter use Bladder incontinence bowel incontinece prolapsed bladder ```

Question 30

Tx of UTI

Answer 30

Antibiotics are the tx of choice

Question 31

things to do to prevent UTI

Answer 31

- drink plenty of fluids - changing incontinence briefs quick - avoid bladder irritants - keep genital area clean and dry

Question 32

complications of menopause

Answer 32

``` heart and blood vessel disease osteoperosis urinary incontienece sexual function weight gain ```

Question 33

what has hormone therapy in menopause been proven to do

Answer 33

prevent bone loss and reduce fracture | --usually prescribed w progesterone

Question 34

What is andropause

Answer 34

lvl of test in body + prod of sperm gradually becomes lower (10% every decade after 30)

Question 35

Symptoms of benign prostate hyperplasia

Answer 35

frequent and urgent need to urinate noctunia difficulty initiation urination or steps dribbling

Question 36

risk factors of BPH

Answer 36

ageing (1/2 men affected by 80) - fam hx - diabetes and heart disease - lifestyle (obesity etc)

Question 37

complications of BPH

Answer 37

- sudden inability to urinate - UTIs - bladder stoes - bladder damage - kidney damage

Question 38

When does peak sex life

Answer 38

mid to late 30s