Urology: neurogenic bladder: 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: neurogenic bladder

Sample item

A paraplegic patient with a neurogenic bladder has high residual volumes and hydronephrosis. Which management protects the upper tract?

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

The answer and the reasoning

C. Clean intermittent self-catheterisation with anticholinergic therapy

Clean intermittent catheterisation keeps bladder pressure low and avoids stasis, and anticholinergics reduce detrusor overactivity. Indwelling catheters carry risk of infection, stones and squamous carcinoma.

Option by option

  • A. Fluid restriction

    Fluid restriction does not help.

  • B. Permanent indwelling urethral catheter in all cases

    Long-term catheters have more complications.

  • C. Clean intermittent self-catheterisation with anticholinergic therapy (correct)

    Correct. CIC with antimuscarinics is the standard.

  • D. Regular manual expression

    Manual expression raises pressure.

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.

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Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is C, Clean intermittent self-catheterisation with anticholinergic therapy. Clean intermittent catheterisation keeps bladder pressure low and avoids stasis, and anticholinergics reduce detrusor overactivity.

Why is "Fluid restriction" not the answer?

Fluid restriction does not help.

Why is "Permanent indwelling urethral catheter in all cases" not the answer?

Long-term catheters have more complications.

Why is "Regular manual expression" not the answer?

Manual expression raises pressure.

What concept does this question test?

It tests Urology: neurogenic bladder in General Surgery. Indwelling catheters carry risk of infection, stones and squamous carcinoma.

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: neurogenic bladder?

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.