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15673 Surgery

If a patient with a suspected fracture of the pelvis has some bleeding from the urethra and is unable to pass urine. What should be the next appropriate step in the management?

AHe should be encouraged to pass urine after being given antibiotics and analgesics
BHe should be immediately catheterized in the ward
CA hot water bottle should be given followed by injection of carbachol
DHe should be prepared for surgery and catheterization attempted in the O.T.
Surgery
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15674 Surgery

A sputum sample was brought to the laboratory for analysis. Gram stain revealed the following: rare epithelial cells, 8 to 10 polymorphonu-clear leukocytes per high-power field, and pleomorphic Gram-negative rods. As the laboratory consultant, which of the following interpretations should you make?

AThe sputum specimen is too contaminated by saliva to be useful
BThe patient has pneumococcal pneumonia
CThe patient has Vincent's disease
DThe appearance of the sputum is suggestive of Haemophilus pneumonia
Surgery
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