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An Inebriated 40-Year-Old Man Was Involved in a Fight Over

Question 3

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An inebriated 40-year-old man was involved in a fight over a woman. The woman's husband gave the man a severe blow to the lower part of the anterior abdominal wall, whereupon he doubled up with pain and collapsed on the floor. On admission to the emergency department of the local hospital, the man was in a state of shock and complaining of severe pain in the lower abdominal region. He was unable to pass urine since the fight. A diagnosis of ruptured urinary bladder was made.
-The following statements concerning this patient are correct except which?


A) Rectal examination revealed a bulging backward of the rectovesical fossa.
B) Although the patient had consumed a considerable volume of liquor, dullness was not present on percussion of the anterior abdominal wall above the symphysis pubis.
C) The urine accumulated in the rectovesical pouch.
D) A full bladder is more likely to be ruptured by a blow to the anterior abdominal wall than an empty bladder.
E) In the adult, as the normal bladder fills, its superior wall extends upward into the abdomen, leaving the covering of parietal peritoneum behind.

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