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General Surgery · Urology
Sample itemWhat is a key initial step in suspected urinary retention with painful suprapubic distension?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Assess promptly and decompress the bladder when indicated
Acute urinary retention can cause severe discomfort and renal complications, so prompt assessment and catheter drainage are commonly required when appropriate.
Option by option
A. Encourage prolonged fluid restriction
Fluid restriction does not relieve the obstruction.
B. Assess promptly and decompress the bladder when indicated (correct)
Correct: decompression relieves obstruction and allows evaluation.
C. Ignore the abdominal finding
Ignoring retention risks kidney injury.
D. Apply a topical emollient
Emollient does not treat bladder distension.
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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