Urology: clot retention: 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: clot retention

Sample item

A man has gross haematuria after TURP and now has severe suprapubic pain, a palpable bladder and inability to void. What is the immediate management?

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

The answer and the reasoning

A. Wide-bore three-way catheter with manual washout and continuous irrigation

Clot retention needs bladder decompression and clot evacuation through a large-bore catheter, followed by continuous irrigation to prevent re-clotting.

Option by option

  • A. Wide-bore three-way catheter with manual washout and continuous irrigation (correct)

    Correct. Washout and irrigation relieve clot retention.

  • B. Intravenous furosemide

    Diuresis would increase bladder filling and pain.

  • C. Immediate cystectomy

    Cystectomy is excessive for a postoperative clot problem.

  • D. Reassurance and oral fluids

    The bladder will not empty with clots blocking the outlet.

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 A, Wide-bore three-way catheter with manual washout and continuous irrigation. Clot retention needs bladder decompression and clot evacuation through a large-bore catheter, followed by continuous irrigation to prevent re-clotting.

Why is "Intravenous furosemide" not the answer?

Diuresis would increase bladder filling and pain.

Why is "Immediate cystectomy" not the answer?

Cystectomy is excessive for a postoperative clot problem.

Why is "Reassurance and oral fluids" not the answer?

The bladder will not empty with clots blocking the outlet.

What concept does this question test?

It tests Urology: clot retention in General Surgery. The correct option holds because: Correct. Washout and irrigation relieve clot retention.

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: clot retention?

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.