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OAB Part 2

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

Many of Heart failure or peripheral venous and vascular patients describe increased nocturia that manifests as OAB.

a)

True

b)

False

2.

………………………………….. are features of UTI’s not usually associated with OAB.

a)

Dysuria

b)

Possibly elevated temperature

c)

Frequency

d)

Both A & B

3.

As per AUA & SUFU Guidelines, the first line for the treatment of OAB is ………………………….

a)

Behavioral therapy

b)

Antimuscarinics

c)

onabotulinumtoxin A

d)

Neuromodulation

4.

The International Continence Society (ICS) recommends that Pelvic floor muscle therapy be offered as a first-line therapy to all women with stress, urge, or mixed urinary incontinence.

a)

True

b)

False

5.

M1 receptors are distributed in …………………………

a)

Brain

b)

Salivary glands

c)

Smooth muscles

d)

Both A & B

6.

M3 receptors are distributed in ………………………..

a)

Smooth muscles

b)

Glands

c)

Eye

d)

All of the above

7.

On the human detrusor muscle cells, M2 receptors predominate in number over M3 receptors. So M2 receptors are mainly responsible for the normal micturition contraction.

a)

True

b)

False

8.

Antimuscarinic drugs act mainly during the storage phase, decreasing urge and increasing bladder capacity.

a)

True

b)

False

9.

………………………………………… are the mainstay of treatment for OAB.

a)

β-3-receptor agonists

b)

Botulinum toxin A injections

c)

Anti-muscarinic drugs

d)

Flavoxate

10.

All of the following Antimuscuranics are Tertiary amines Except…………………

a)

Solifenacin

b)

Fesoterodine

c)

Trospium

d)

Propiverine

11.

All of the following Anti-muscuranics are FDA approved Except…………………

a)

Tolterodine

b)

Darifenacin

c)

Propiverine

d)

Oxybutynin

12.

Quaternary amines such as solifenacin are not well absorbed, pass into the CNS to a limited extent.

a)

True

b)

False

13.

Tertiary amines such as Trospium are not well absorbed, pass into the CNS to a limited extent.

a)

True

b)

False

14.

The following are Right regarding Trospium EXCEPT

a)

Quaternary amine

b)

pass into the CNS to a limited extent

c)

FDA approved

d)

Has metabolic drug–drug interactions

15.

The following are Right regarding Solifenacin EXCEPT

a)

Predominately M2 selective

b)

Tertiary amine

c)

Not well absorbed

d)

Both A & C

16.

Anti- muscarinics are contraindicated in

a)

Urinary retention

b)

gastric stasis

c)

uncontrolled narrow-angle glaucoma

d)

All of the above

17.

Oxybutynin adversely affect the cognitive function because it’s ………………………………...

a)

Highly lipophilic tertiary amine

b)

Non- selective MRA, acting on M1

c)

Can cross the BBB

d)

All of the above

18.

If anti-muscarinic treatment proves ineffective, consider dose escalation or offering an alternative antimuscuranic formulation, or mirabegron, or a combination.

a)

True

b)

False

19.

The most common treatment-related adverse event in the mirabegron patients are

a)

Constipation

b)

Dry mouth

c)

Hypertension

d)

All of the above

20.

The use of β-3-receptor agonists in men with moderate to severe LUTS who have mainly bladder storage symptoms.( Strong Recommendation – EAU Guidelines 2019)

a)

True

b)

False