Urology: posterior urethral injury: 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: posterior urethral injury

Sample item

After pelvic fracture, a patient has blood at the urethral meatus and cannot void. What should be done before attempting urethral catheterization?

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

The answer and the reasoning

C. Perform retrograde urethrography

Blood at the meatus after pelvic trauma suggests urethral injury. Retrograde urethrography should define urethral integrity before transurethral catheterization to avoid worsening a disruption.

Option by option

  • A. Discharge with fluid restriction

    Fluid restriction is unsafe and irrelevant.

  • B. Give an oral diuretic

    Diuretics do not evaluate or treat urethral trauma.

  • C. Perform retrograde urethrography (correct)

    Correct. Imaging precedes urethral instrumentation when injury is suspected.

  • D. Insert a Foley catheter forcefully

    Forceful catheterization can convert a partial injury to a complete disruption.

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 C, Perform retrograde urethrography. Blood at the meatus after pelvic trauma suggests urethral injury.

Why is "Discharge with fluid restriction" not the answer?

Fluid restriction is unsafe and irrelevant.

Why is "Give an oral diuretic" not the answer?

Diuretics do not evaluate or treat urethral trauma.

Why is "Insert a Foley catheter forcefully" not the answer?

Forceful catheterization can convert a partial injury to a complete disruption.

What concept does this question test?

It tests Urology: posterior urethral injury in General Surgery. Retrograde urethrography should define urethral integrity before transurethral catheterization to avoid worsening a disruption.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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: posterior urethral injury?

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.