BLADDER:

ANATOMY AND
PHYSIOLOGY
MCQs

During the normal filling phase of the

bladder
(a) The detrusor pressure rises only
minimally
(b) Proprioceptive impulses pass via the
pudendal nerves
(c) The first desire to void occurs at about
100 ml capacity
(d) There may be voluntary pelvic floor
contractions to maintain continence
(e) An abnormally high detrusor pressure
may be caused by interstitial cystitis
T;F;F;T;T;

The pelvic floor

(a) has two distinct layers of support
(b) is commonly disrupted by childbirth
(c) gains the majority of its support
from the transverse perineal muscles
(d) consists of both fascial and
muscular supporting structures
(e) receives nerve supply from both
the pudendal nerve and the pelvic
plexus
F; T; F; T; T;

Of the drugs used in the treatment of bladder

symptoms
(a) Oxybutinin acts by an antimuscarinic action
and a direct relaxant effect on the smooth
muscle
(b) Oxybutinin may have a dilitarious effect on
cognitive function in the elderly
(c) Tolterodine is more effective than Oxybutinin
in controlling frequency of micturition
(d) Imipramine is effective in the treatment of
nocturnal enuresis in children
(e) Desmopressin (DDAVP) can be used for
treating nocturnal frequency and enuresis in
adults
T; T; F; T; T;

Oral anti-cholinergic treatment used

currently
(a) is highly selective for bladder
smooth muscle
(b) increases bladder capacity
(c) includes the drug baclofen
(d) reduces leakage due to genuine
stress incontinence
(e) should not be used in patients with
glaucoma
F; T; F; F; T;

With regards to the somatic storage

reflex
a) Its mediated in the Pontine
micturition center.
b) Higher centers have no role.
c) NA and serotonin are inhibitory in
the Onufs nucleus.
d) Aids in stress continence
mechanisms.
e) Duloxetine acts as a adrenergic
receptor agonist.
F; F; F; T; F;