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USMLE · Question #553

A 32-year-old man is brought to the emergency department 30 minutes after being struck by a car while driving his motorcycle. He reports severe pelvic pain. On examination, there is bruising of the…

The correct answer is B. Membranous. See the full explanation below for the reasoning.

Question

A 32-year-old man is brought to the emergency department 30 minutes after being struck by a car while driving his motorcycle. He reports severe pelvic pain. On examination, there is bruising of the perineum and pain is elicited with motion of his pelvis. Blood is noted at the urethral meatus. There is no other penile trauma. A plain x-ray shows a fracture of the superior pubic ramus and retrograde urethrography is done to evaluate for a urethral disruption. Which of the following portions of the urethra would be at greatest risk for injury in this patient?

Options

  • AIntramural (pre-prostatic)
  • BMembranous
  • CProstatic
  • DSpongy

How the community answered

(28 responses)
  • A
    4% (1)
  • B
    82% (23)
  • C
    11% (3)
  • D
    4% (1)

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