End of Unit Quiz

What is the knack? *

Voluntarily contract PFM prior to exertion which increases IAP

A pelvic floor exercise programme consisting of a number of short strong squeezes

What is the strongest factor is predicting who will respond to PFMT? *

Demographic factors

Levator ani morphology

Bladder neck to levator plate distance

Levator ani strength on MVC

What is an orange flag? *

Psychiatric symptoms

Work and health

System obstacles

Emotional influences

What is a 3c Perineal tear? *

Less than 50% of the external anal sphincter torn

More than 50% of the external anal sphincter torn

Both the external anal sphincter and internal anal sphincter torn

How much water is optimal to avoid dehydration? *

50mls per kg of body weight

30mls per kg of body weight

20mls per kg of body weight

Which of the following is NOT a red flag for the bladder? *

Frequency of >12 voids per day

Passive incontinence

Haematuria

Recurrent or persistent unexplained UTI

Pelvic masses

Pregnant women are ____% more likely to be subjected to physical domestic violence and abuse than women who are not pregnant *

80

30

60

When assessing the pelvic floor using the PERFECT scheme what does the E stand for? *

Elevation

Every

Excursion

What is a grade 4 on the modified oxford grading of the pelvic floor? *

Increased tension and a good contraction. Capable of elevating the posterior vaginal wall against digital resistance

A flicker felt under your finger

Strong resistance to the elevation of the posterior vaginal wall, your finger is squeezed and drawn into the vagina

Which of the following is not a contraindication for vaginal examination? *

Active infection or suspected infection e.g. BV

Open wounds, broken skin, fistula

Less than 6/52 post delivery or gynae surgery

Hx abuse/ sexual assault / genital mutilation

The E in Jo Gibson’s communication superpower acronym stands for *

Expand

Expert

Empower

What is normal bowel frequency? *

Once a day

From three times a day to once every three days

Twice a week

Which of the following is not a bowel red flag? *

Unexplained weight loss

Very large stool

Feeling of fullness in rectum after BM

Unexplained rectal bleeding / bloody stools

Which of the following is a sign of avulsion? *

A distance of >3.5cm widths between the two sides of puborectalis muscle insertion

A distance of >4.5cm widths between the two sides of puborectalis muscle insertion

A distance of >2.5cm widths between the two sides of puborectalis muscle insertion

Pelvic Floor Physiotherapy