Urology: renal trauma: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Urology: renal trauma

Sample item

A stable man with blunt flank trauma and haematuria has a grade III renal laceration on contrast CT without active extravasation. What is the best management?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Non-operative management with observation

Most blunt renal injuries, including high grade, are managed non-operatively in stable patients, with angioembolisation for bleeding. Emergency exploration is for haemodynamic instability or an expanding or pulsatile retroperitoneal haematoma.

Option by option

  • A. Renal artery ligation

    Ligation is not indicated.

  • B. Immediate nephrectomy

    Nephrectomy is for uncontrollable bleeding.

  • C. Exploration and repair

    Exploration risks nephrectomy unnecessarily.

  • D. Non-operative management with observation (correct)

    Correct. Stable patients are managed conservatively.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More General Surgery questions

Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is D, Non-operative management with observation. Most blunt renal injuries, including high grade, are managed non-operatively in stable patients, with angioembolisation for bleeding.

Why is "Renal artery ligation" not the answer?

Ligation is not indicated.

Why is "Immediate nephrectomy" not the answer?

Nephrectomy is for uncontrollable bleeding.

Why is "Exploration and repair" not the answer?

Exploration risks nephrectomy unnecessarily.

What concept does this question test?

It tests Urology: renal trauma in General Surgery. Emergency exploration is for haemodynamic instability or an expanding or pulsatile retroperitoneal haematoma.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Urology: renal trauma?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.