Urology Voiding Dysfunction: Review Questions Julio G. Davalos, MD, and Stanley Zaslau, MD Dr. Davalos is a Resident and Dr. Zaslau is an Assistant Professor, Department of Urology, West Virginia University School of Medicine, Morgantown, WV. Choose the single best answer for each question.
	1. Which of the following is the normal female voiding pressure? Between 50 and 100 cm H2O Less than 40 cm H2O More than 70 cm H2O Unable to be determined Click here to compare your answer. 2. A 45-year-old woman with non-insulin-dependent diabetes mellitus has urinary frequency, urgency, and occasional urge incontinence. She undergoes multichannel urodynamic evaluation. Which of the following is the LEAST likely explanation for her symptoms? Detrusor areflexia Detrusor hyperreflexia with impaired contractility Detrusor hyperreflexia with normal detrusor contractility Impaired detrusor contractility with ability Click here to compare your answer. 3. A 38-year-old woman has a persistent watery vaginal discharge accompanied by normal voiding after laparoscopic-assisted vaginal hysterectomy. Physical examination reveals perineal dermatitis. Which of the following is the most likely diagnosis for this patient? Detrusor hyperreflexia Detrusor hyperreflexia with impaired contractility Ureteral necrosis Urethrocutaneous fistula Vesicovaginal fistula Click here to compare your answer.		4. During urodynamic evaluation, a 42-year-old woman, who had her first sensation of bladder filling at 135 mL, feels that she can no longer delay voiding at a bladder volume of 435 mL. Which of the following conclusions is most accurate? Her abdominal pressure is negligible Her bladder compliance is poor Her detrusor pressure is likely 10 cm H2O She has reached her functional bladder capacity She has reached her maximum cystometric capacity Click here to compare your answer. 5. Which of the following is the most common postoperative complication to occur immediately after placement of tension-free vaginal tape for stress urinary incontinence? Bladder perforation Hemorrhage Urethral erosion Urinary retention Wound infection Click here to compare your answer. 6. Which of the following is the organizational center for the micturition reflex? Brain stem Cerebral cortex Pelvic nerve Pudendal nerve Sacral spinal cord Click here to compare your answer.
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