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Kaplan Qbank USMLE



Author3 Posts
  #1

Hey guys, I came across this question when I was going through questions on a thread that is on a later page. Anyways, I was wondering if some of you can discuss the answer choices and come up w/ possible scenarios where each of the answer choices would be correct. Here's the q -


A 24-year-old male is thrown from a car that he drove into a tree. He suffers from a T6 spinal crush injury. After he recovers from his acute injury, what is the most appropriate course of action regarding his bladder?

A. The patient should be taught how to self-catherize, because he will never be able to control his bladder.

B. The patient will have a bladder that fills and dribbles urine continually.

C. The bladder is paralyzed, and the patient will have to use abdominal compression and straining to void.

D. The bladder should remain catherized until the patient's micturation reflexes return. The patient can then be taught to cutaneously stimulate the genital area to stimulate a micturation reflex.

E. The patient will have frequent bladder reflux with resulting bladder infections.


















































































Answer is D. The bladder should remain catherized until the patient's micturation reflexes return. The patient can then be taught to cutaneously stimulate the genital area to stimulate a micturation reflex.

  #2

ANYONE???

  #3

come on people~~







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