#february2020mccqe1
While walking across a road a 21-year-old man is struck by a car. His pelvis is found to be fractured with diastasis of the symphysis pubis and sacroiliac joint distortion. Vital signs are as follows. BP 110/70mmHg, Pulse 95/min, Respiratory rate 22/min. He is unable to void spontaneously. On examining him, blood is found at his urethral meatus. Which one of the following is the most appropriate next step in assessing his urinary tract?
(A) Intravenous urogram
(B) Ascending urethrogram
(C) Insertion of a urinary catheter
(D) Cystoscopy
(E) Spiral computed tomography (CT) of pelvis
While walking across a road a 21-year-old man is struck by a car. His pelvis is found to be fractured with diastasis of the symphysis pubis and sacroiliac joint distortion. Vital signs are as follows. BP 110/70mmHg, Pulse 95/min, Respiratory rate 22/min. He is unable to void spontaneously. On examining him, blood is found at his urethral meatus. Which one of the following is the most appropriate next step in assessing his urinary tract?
(A) Intravenous urogram
(B) Ascending urethrogram
(C) Insertion of a urinary catheter
(D) Cystoscopy
(E) Spiral computed tomography (CT) of pelvis
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