A 45-Year-Old Man Is Brought to the Emergency Department Following

question 396

Multiple Choice

A 45-year-old man is brought to the emergency department following a motor vehicle collision.  He has pain in his lower abdomen and right groin.  The patient is unable to move his right lower extremity due to pain.  Temperature is 37 C (98.6 F) , blood pressure is 130/82 mm Hg, pulse is 100/min, and respirations are 16/min.  There is fullness in the suprapubic region.  The right lower extremity is adducted, flexed, and internally rotated.  Bruising is present around the scrotum and perineum, and blood is seen at the urethral meatus.  The testes are nontender on palpation.  Digital rectal examination reveals a high-riding prostate.  Which of the following is the best next step in management of this patient?

• A)Foley catheterization
• B)Immediate surgical repair of the urethra
• C)Retrograde cystography
• D)Retrograde urethrography
• E)Testicular and scrotal ultrasound

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Definitions:

Collective Bargaining

Negotiation between union representatives and management representatives to arrive at a contract defining conditions of employment for the term of the contract and to administer that contract.

Objectives

Specific, measurable goals that are designed to be achieved within a certain timeframe.

Data

Quantitative or qualitative values that represent information or variables, often used for analysis or to make decisions.

Checkoff Provision

Contract provision under which the employer, on behalf of the union, automatically deducts union dues from employees' paychecks.