Urinary

Question 1

what are the main urinary disorders

Answer 1

urinary frequency

incontinence

urinary retention

BPH

Question 2

what groups of drugs are involved with treating urinary frequency // incontinence

Answer 2

DOTS - Anticholinergics // Muscarinics

Darifenacin
Oxybutynin
Tolterodine
Solifenacin

Mirabegron - Beta 3 adrenoceptor agonist

Question 3

what drug that is not part of the usual suspects that has an indication for stress incontinence only in women

Answer 3

duloxetine

Question 4

how can we reduce the side effects of antimuscarinics

Answer 4

giving Mr formulations can help to reduce the side effects

Question 5

what are the common side effects of anticholinergic / antimuscarinic medication

Answer 5

cant see
cant pee
cant sit
cant shit

Question 6

what is the first line for nocturnal enuresis

Answer 6

non drug advise

Question 7

what is the second line for nocturnal enuresis

Answer 7

oral or sublingual desmopressin taken at night

Question 8

what is the third line for nocturnal enuresis

Answer 8

imipramine

Question 9

what are the common side effects of desmopressin

Answer 9

hyponatraemia and nausea

Question 10

what is a potential severe side effect of desmopressin

Answer 10

seizures and convulsions if hyponatraemia is caused

Question 11

how can we prevent hyponatraemia from occuring with the use of desmopressin

Answer 11

if a patient is to take the medication advise for them to take it 1 hour before or at bedtime and limit fluids for 1 hour before taking the dose and 8 hours after

Question 12

is urinary retention an emergency

Answer 12

only if acute

Question 13

how do we treat acute urinary retention

Answer 13

catheter

Question 14

how do we treat chronic urinary retention

Answer 14

surgically

alpha blockers

Question 15

name as many alpha blockers that are used in the treatment of chronic urinary retention or BPH

Answer 15

tamsulosin, alfuzosin, doxazosin, and terazosin

Question 16

what is the most common cause of urinary retention in men

Answer 16

bph

Question 17

how do we treat bph

Answer 17

alpha blockers

or

5a reductase inhibitors

Question 18

name two 5a reductase inhibitors

Answer 18

finasteride
dutasteride

Question 19

in terms of contraception what is important with 5a reductase inhibitors

Answer 19

they are excreted in the condoms so wearing a condom is always recommended

Question 20

what handling and sotrage requirements are associated with 5a reductase inhibitors

Answer 20

crushed or broken tablets should not be handled by woman of child bearing age

Question 21

what cancer can 5a reductase inhibitors cause in both men and woman

Answer 21

breast

Question 22

what mhra warning is associated with finasteride

Answer 22

if it is being used to treat hair loss then people have warned of depression or suicidal thoughts developing

Question 23

what are alpha blockers contra-indicated in

Answer 23

faint in urinating

Question 24

what is a major side effect of alpha blockers

Answer 24

1st dose hypertension

Question 25

what is a major side effect of mirabegron

Answer 25

hypertension