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General Surgery · Urology
Sample itemWhich feature suggests urinary retention requiring prompt bladder assessment?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Painful suprapubic fullness with inability to void
Acute urinary retention presents with inability to pass urine and painful suprapubic distension; prompt bladder scanning, analgesia, and decompression when indicated reduce discomfort and risk of renal complications.
Option by option
A. A painless bruise after exercise
An exercise bruise does not indicate obstructed urinary outflow.
B. Frequent formed stools
Formed stools do not diagnose bladder retention.
C. Painful suprapubic fullness with inability to void (correct)
Correct: painful distension with inability to void is classic retention.
D. Itchy eyes during pollen season
Pollen-related eye itch suggests allergic conjunctival irritation.
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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