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General Surgery · Urology: renal trauma
Sample itemAfter blunt flank trauma, a stable patient has gross hematuria and flank tenderness. Which imaging is generally used to assess renal injury?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Contrast-enhanced CT of abdomen and pelvis
In hemodynamically stable patients with suspected significant renal trauma, contrast-enhanced CT characterizes renal parenchymal, collecting-system, and vascular injury. Unstable patients follow damage-control pathways.
Option by option
A. Contrast-enhanced CT of abdomen and pelvis (correct)
Correct. Contrast CT is the standard imaging modality in stable significant renal trauma.
B. Plain radiograph of the hand
Hand radiography does not assess renal injury.
C. Barium swallow
Barium swallow assesses esophageal structure.
D. Routine DEXA scan
DEXA measures bone density.
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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