W4 Learner Assessment Survey

Thank you for watching the video of Workshop 4 filmed at ICS 2018, Philadelphia. You can now assess yourself by undertaking a short multiple choice questionnaire. This will help you identify how much you learnt from the workshop. If you wish you can enter your name and email at the end and the ICS office will send you a certificate to state that you have undertaken the test. Please note this workshop is not currently accredited for online CME.

Good luck and have fun!

Question Title

* 1. Which single statement about heart failure is correct?

A) A history of cardiotoxic drug use or diuretic therapy together with ankle oedema on clinical examination is sufficient to make a diagnosis of heart failure.

B) Bilateral ankle oedema and jugular venous distension found on urogynaecological consultation is sufficient to make a clinical diagnosis of heart failure.

C) Bilateral ankle oedema and jugular venous distension an elevated BNP confirms heart failure

D) Bilateral ankle oedema and jugular venous distension with a normal BNP excludes heart failure

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* 2. Desmopressin therapy for Nocturia is contraindicated in which clinical situation?

A) Creatinine clearance of 80ml/min

B) NYHA class I heart failure

C) NYHA class II (or higher) heart failure

D) Serum sodium concentration of 139mmol/l

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* 3. A 68 year old woman has mild-moderate bilateral leg oedema and varicose veins with no indication of heart, liver or kidney failure and no daytime LUTS. Which single intervention has proven efficacy for treating nocturia in this patient?

A) Compression stockings

B) Daytime diuretic therapy

C) Desmopressin therapy

D) Surgery for her varicose veins

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* 4. In acute hospital care the most common causal link between voiding at night and falling is:

A) Cognitive impairment

B) Frailty

C) Gait instability on formal testing

D) Multimorbidity

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* 5. It is important to evaluate sleep quality in someone with nocturnal lower urinary tract symptoms because:

A) Needing to void early at night is an important contribution to sleep deprivation

B) Sleep disruption can increase nocturnal diuresis

C) Sleep disruption leads people to toilet when their bladder is not full

D) There may be an environmental issue disrupting sleep

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* 6. Hypertension and nocturia are linked by which single factor?

A) Adverse effects of pharmacotherapy

B) Increased glomerular filtration

C) Peripheral oedema

D) Peripheral arterial dilatation

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* 7. Postural hypotension should be actively identified in patients with nocturia because:

A) Balance is impaired in nocturics

B) It is caused by hypovolemia

C) It is seldom clinically apparent

D) It is most severe at night

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* 8. In community dwelling individuals, the most common causal link between voiding at night and falling is:

A) Cognitive impairment

B) Gait alterations

C) Multimorbidity

D) Polypharmacy

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* 9. What is the current definition of nocturia as a nocturnal symptom?

A) Complaint of interruption of sleep one or more times because of the need to micturate. Each void is preceded and followed by sleep

B) Waking to pass urine during the main sleep period

C) The complaint that the individual has to wake at night one or more times to void

D) Waking to pass urine 2 or more times during normal sleeping hours

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* 10. A 76 year old woman complains of waking frequently at night to void. Her frequency-volume chart results are below:
- Maximum voided volume 350ml
-Daytime micturition frequency: 4
-Nocturia episodes: 3
-24h urine volume: 1740ml
-Nocturnal urine volume: 840ml
-Body weight: 85kg

What is the most likely cause for her nocturia ?

A) 24 hour polyuria

B) Nocturnal polyuria

C) Overactive bladder

D) Overactive bladder and nocturnal polyuria

Question Title

* 11. If you would like a certificate to be emailed to you, stating that you have completed this assessment, then please enter your name and email address here:

First Name

Surname

Email address