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Certified Urologic Associate Practice Test

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CBUNA-CUA
CBUNA Certified Urologic Associate
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Question: 1
Which of the following resources can be used to obtain clinical information on
urogynecology?
A. Textbooks
B. Online tools and websites
C. Radiology reports
D. Laboratory test results
Answer: A, B
Explanation: Textbooks and online tools and websites are valuable resources
for obtaining clinical information on urogynecology. Radiology reports and
laboratory test results may provide additional information but are not specific
to urogynecology.
Question: 2
Which of the following conditions are considered as pathophysiological factors
for stress urinary incontinence (SUI), overactive bladder/urgency urinary
incontinence (OAB/UUI), and pelvic organ prolapse (POP)?
A. Weakness or damage to the pelvic floor muscles
B. Hormonal imbalances
C. Chronic constipation
D. Excessive fluid intake
Answer: A
Explanation: Stress urinary incontinence (SUI), overactive bladder/urgency
urinary incontinence (OAB/UUI), and pelvic organ prolapse (POP) are
primarily caused by weakness or damage to the pelvic floor muscles and
connective tissues. Hormonal imbalances, chronic constipation, and excessive
fluid intake may contribute to bladder dysfunction but are not the primary
pathophysiological factors for these conditions.
Question: 3
Which of the following findings related to pelvic floor symptoms would
indicate the need for urgent referral?
A. Unexplained weight loss
B. Bleeding
C. Acute pain
D. Atypical findings
Answer: A, B, C
Explanation: Findings such as unexplained weight loss, bleeding, and acute
pain related to pelvic floor symptoms may indicate serious underlying
conditions and would warrant urgent referral for further evaluation. Atypical
findings should also be considered for further assessment.
Question: 4
Which of the following assessments are included in a basic bladder function
assessment?
A. Uroflow interpretation
B. Post void residual measurement
C. Urinary infection testing
D. Hematuria testing
Answer: A, B, C
Explanation: A basic bladder function assessment includes uroflow
interpretation, post void residual measurement, and testing for urinary infection.
Hematuria testing is not typically included in a basic bladder function
assessment.
Question: 5
A patient presents with symptoms of urgency, frequency, and nocturia. Which
of the following conditions is the most likely cause of these symptoms?
A. Stress urinary incontinence
B. Urge urinary incontinence
C. Overflow urinary incontinence
D. Functional urinary incontinence
Answer: B
Explanation: Symptoms of urgency, frequency, and nocturia are characteristic
of urge urinary incontinence, which is caused by detrusor overactivity leading
to involuntary contractions of the bladder muscle.
Question: 6
Which assessments should be included in a basic bladder function assessment?
A. Uroflow interpretation
B. Post void residual (straight catheter and ultrasound scanner)
C. Testing for urinary infection and hematuria
D. Evaluation of bladder capacity using cystometry
Answer: A, B, C
Explanation: A basic bladder function assessment should include the
interpretation of uroflow, which measures the rate and pattern of urine flow, the
measurement of post void residual using either a straight catheter or an
ultrasound scanner to assess how much urine remains in the bladder after
voiding, and appropriate testing for urinary infection and hematuria to rule out
underlying conditions. Evaluation of bladder capacity using cystometry is more
advanced and may not be included in a basic assessment.
Question: 7
When obtaining a comprehensive urogynecology history from women who
report pelvic floor symptoms, what should be assessed?
A. Quality of life and symptom bother
B. Family history of urogynecological conditions
C. Previous surgical interventions
D. Current sexual activity
Answer: A
Explanation: When obtaining a comprehensiveurogynecology history from
women who report pelvic floor symptoms, it is important to assess their quality
of life and the degree to which their symptoms bother them. This helps in
understanding the impact of the symptoms on their daily life and overall well-
being. While family history, previous surgical interventions, and current sexual
activity may also be relevant aspects to consider, assessing quality of life and
symptom bother is crucial in evaluating the impact of pelvic floor symptoms on
the individual.
Question: 8
Which components should be included in an advanced pelvic examination for
evaluating pelvic floor conditions?
A. Neurologic components
B. POP-Q examination
C. Pelvic muscle evaluation for function and pain
D. Vaginal and/or rectal examination as appropriate
Answer: A, B, C, D
Explanation: An advanced pelvic examination for evaluating pelvic floor
conditions should include neurologic components to assess the integrity of the
nerve supply to the pelvic floor, a POP-Q (Pelvic Organ Prolapse
Quantification) examination to assess the degree of pelvic organ prolapse, a
pelvic muscle evaluation to assess muscle function and identify any pain or
dysfunction, and a vaginal and/or rectal examination as appropriate to further
evaluate specific pelvic floor structures.
Question: 9
A 65-year-old woman presents to her primary care provider for a checkup.
Currently, she feels fine and does not have any complaints besides occasional
wrist pain. She has a history of hypertension and gout. She takes lisinopril,
amlodipine, and allopurinol and has been stable on them. The patient's diet
mainly consists of fruits and vegetables. She eats fish on weekends, which her
husband cooks for her. She has smoked one pack of cigarettes daily for the past
35 years but has been trying to cut down. She is to undergo a colonoscopy next
week for routine colon cancer screening. One of her friends was recently
diagnosed with bladder cancer, and she asks the provider if she could also be
screened for bladder cancer. What is the most appropriate response to this
query?
A. Screening for bladder cancer is not recommended; offering a urinalysis
might reassure the patient and reduce her anxiety.
B. Screening, including cystoscopy, should be done now because of her
smoking history.
C. Screening should be done now because of her age and her request.
D. Screening for bladder cancer is initiated at 70 years of age for patients with a
significant smoking history.
Answer: A
Explanation: The most appropriate response in this case would be to inform the
patient that screening for bladder cancer is not recommended as a routine
measure. Bladder cancer screening is not currently recommended for the
general population, including individuals with a significant smoking history.
Offering a urinalysis might help to reassure the patient and address her
concerns without subjecting her to unnecessary invasive procedures. It is
important to provide accurate information and alleviate anxiety while adhering
to evidence-based screening guidelines.
Question: 10
Which of the following management options can be considered for women with
uncomplicated pelvic floor disorders?
A. Behavioral therapies
B. Physical therapies
C. Devices
D. Surgeries
Answer: A, B, C, D
Explanation: Women with uncomplicated pelvic floor disorders have a range of
management options available to them, including behavioral therapies, physical
therapies, devices, and surgeries. The specific management plan should be
individualized based on the patient's preferences and values.
Question: 11
In the management of pelvic floor disorders, when should an urgent referral be
considered?
A. Unexplained weight loss
B. Bleeding
C. Acute pain
D. Atypical findings related to pelvic floor symptoms
Answer: A, B, C
Explanation: An urgent referral should be considered in the management of
pelvic floor disorders when there are unexplained weight loss, bleeding, or
acute pain. These symptoms may indicate underlying serious conditions that
require immediate medical attention. Atypical findings related to pelvic floor
symptoms may also warrant further evaluation, but they may not necessarily
require an urgent referral.
Question: 12
A 45-year-old female presents with complaints of involuntary urine leakage
during activities such as laughing, sneezing, or exercising. The symptom is
most likely due to:
A. Stress urinary incontinence
B. Urge urinary incontinence
C. Overflow urinary incontinence
D. Functional urinary incontinence
Answer: A
Explanation: Stress urinary incontinence is characterized by involuntary urine
leakage during physical activities or movements that put pressure on the
bladder, such as laughing, sneezing, or exercising.
Question: 13
Which of the following is a risk factor for developing pelvic organ prolapse?
A. Obesity
B. Regular exercise
C. Young age
D. Low parity (number of children)
Answer: A, D
Explanation: Obesity and high parity (having a greater number of children) are
known risk factors for pelvic organ prolapse. Regular exercise and young age
are not typically associated with an increased risk of developing pelvic organ
prolapse.
Question: 14
Which of the following describes the basic normal physiology and functional
anatomy of the pelvic floor?
A. The pelvic floor consists of muscles and connective tissues that support the
pelvic organs and maintain continence.
B. The pelvic floor is primarily composed of bone structures that provide
stability to the pelvis.
C. The pelvic floor is responsible for the production and regulation of
hormones related to reproduction.
D. The pelvic floor plays a major role in the digestion and elimination of waste
products.
Answer: A
Explanation: The pelvic floor consists of muscles and connective tissues that
provide support to the pelvic organs, including the bladder, uterus, and rectum.
The muscles of the pelvic floor help maintain continence and contribute to
sexual function. They also play a role in stabilizing the pelvis and supporting
the spine.
Question: 15
Which of the following components should be included in an advanced pelvic
examination for evaluating pelvic floor conditions?
A. Neurologic components
B. POP-Q examination
C. Pelvic muscle evaluation
D. Vaginal and/or rectal examination
Answer: A, B, C, D
Explanation: An advanced pelvic examination for evaluating pelvic floor
conditions should include neurologic components, POP-Q examination, pelvic
muscle evaluation, and vaginal and/or rectal examination as appropriate.
Question: 16
Which of the following risk factors are associated with stress urinary
incontinence (SUI), overactive bladder/urgency urinary incontinence
(OAB/UUI), and pelvic organ prolapse (POP)?
A. Advanced age
B. Obesity
C. Pregnancy and childbirth
D. Sedentary lifestyle
Answer: A, B, C
Explanation: Advanced age, obesity, and pregnancy/childbirth are common risk
factors associated with stress urinary incontinence (SUI), overactive
bladder/urgency urinary incontinence (OAB/UUI), and pelvic organ prolapse
(POP). These factors can contribute to weakened pelvic floor muscles and
increased intra-abdominal pressure. A sedentary lifestyle may indirectly
contribute to these conditions but is not a direct risk factor.
Question: 17
During a comprehensive urogynecology history, it is important to assess the
quality of life and symptom bother of the patient. Which of the following
assessment tools can be utilized for this purpose?
A. Visual Analog Scale (VAS)
B. Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire
(PISQ)
C. International Consultation on Incontinence Questionnaire-Short Form
(ICIQ-SF)
D. Bristol Stool Scale
Answer: A, B, C
Explanation: The Visual Analog Scale (VAS), Pelvic Organ Prolapse/Urinary
Incontinence Sexual Function Questionnaire (PISQ), and International
Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) are
commonly used assessment tools to evaluate the quality of life and symptom
bother in patients with pelvic floor symptoms. The Bristol Stool Scale is not
specific to urogynecology and is used to assess stool consistency.
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