Pelvic Floor Quiz- 3/31/16

Question 1

True / False- The anal sphincter is made up of smooth muscle and is therefore not under voluntary control.

Answer 1

False

Question 2

True / False- Pelvic floor dysfunction exists mainly because of weakness in the deepest layers of muscle.

Answer 2

True

Question 3

True / False- Pelvic floor exercises for a patient with fecal incontinence promote improvement by decreasing the size of the colorectal angle.

Answer 3

True

Question 4

Reflex inhibition helps promote continence by telling the pelvic floor to contract when the

1. detrusor contracts
2. detrusor relaxes
3. urinary sphincter relaxes

Answer 4

Detrusor relaxes

Question 5

In the normal person, increased intra-abdominal pressure acts on the proximal urethra to

1. promote continence
2. promote incontinence
3. NA - it doesn’t act on the proximal urethra

Answer 5

Promote continence

Question 6

All of the following promote urinary continence EXCEPT

1. bladder positioned directly over urethral outlet
2. dual innervation of muscles
3. slow & fast twitch muscle fibers
4. spongy urethral walls

Answer 6

Bladder positioned directly over urethral outlet

Question 7

7. Increased intra-abdominal pressure helps to empty the bladder
8. and is an important part of normal voiding
9. but should be avoided as part of normal voiding

Answer 7

But should be avoided as part of normal voiding

Question 8

The supportive role of the pelvic floor relies on

1. both slow and fast twitch muscle fibers
2. primarily fast twitch muscle fibers
3. primarily slow twitch muscle fibers

Answer 8

Primarily slow twitch muscle fibers

Question 9

True / False- Pelvic floor function is related to sexual response.

Answer 9

True

Question 10

Which of the following patients is at lowest risk for developing underactive PFM’s?

1. emergency cesarean delivery
2. planned cesarean delivery
3. vaginal delivery with episiotomy, no further tear
4. vaginal delivery without episiotomy, no tear

Answer 10

Planned cesarean delivery

Question 11

Patients with stress urinary incontinence who decrease their voiding interval are

1. adding to their risk of impairment
2. are showing signs of improvement
3. are teaching their bladder to increase capacity
4. NA - voiding interval has no impact on stress incontinence

Answer 11

Adding to their risk of impairment

Question 12

Patients with urge incontinence and normal fluid intake who then decrease their fluid intake are

1. likely to improve
2. not likely to improve

Answer 12

Not likely to improve

Question 13

13. A patient is doing their pelvic floor exercises in sitting and they say when they contract it feels as if their pelvic floor is contracting firmly and moving toward the seat. The patient is doing the exercises
14. correctly
15. incorrectly

Answer 13

Incorrectly

Question 14

14. On initial assessment your patient is able to do 5 strong 3-second contractions but then notices that they can’t contract as firmly though they can do 12 contractions. The most appropriate number of 3-second repetitions that this patient should be instructed to do for each set of PFE’s is
15. 5
16. 7
17. 9
18. 11

Answer 14

7

Question 15

Lying with the hips elevated on a wedge is a good position to do pelvic floor exercises because in this position gravity can

1. assist the contraction for better sensation of movement
2. resist the contraction for better strengthening
3. NA- this position is contraindicated because the hips are above the heart

Answer 15

Assist the contraction for better sensation of movement

Question 16

. A patient with pelvic floor weakness has been specifically prescribed 4-6 sets of strong, sustained contractions each day. She is very motivated to improve so actually does 10-12 sets each day. Her incontinence is likely to

1. improve because of overload principle of strengthening
2. remain unchanged without other types of intervention
3. worsen because of the fatigue that is likely to result

Answer 16

Worsen because of the fatigue that is likely to result

Question 17

Incontinence that involves large amounts of urine is most likely to be classified as

1. mixed
2. stress
3. urge

Answer 17

Urge

Question 18

True / False- Episodes of stress incontinence are likely to worsen with a full bladder.

Answer 18

True

Question 19

True / False- Coccygodinia is the result of muscle pain more than joint pain.

Answer 19

True

Question 20

True / False- Biofeedback can be an effective treatment for hyperactive PFM’s.

Answer 20

True

Question 21

True / False- “The knack” is the reflexive contraction of the PFM’s in anticipation of a sudden increase in intraabdominal pressure.

Answer 21

False