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A 15-Year-Old Boy Was Taking Part in a Bicycle Race

Question 5

Multiple Choice

A 15-year-old boy was taking part in a bicycle race when, on approaching a steep hill, he stood up on the pedals to increase the speed. His right foot slipped off the pedal and he fell violently, his perineum hitting the bar of the bicycle. Several hours later he was admitted to the hospital unable to micturate. On examination, he was found to have extensive swelling of the penis and scrotum. A diagnosis of ruptured urethra was made.
-The following statements concerning this case are correct except which?


A) Rupture of the bulbous part of the urethra had taken place.
B) The urine had escaped from the urethra and extravasated into the superficial perineal pouch.
C) The urine had passed forward over the scrotum and penis to enter the anterior abdominal wall.
D) The urine had extended posteriorly into the ischiorectal fossae.
E) The urine was located beneath the membranous layer of superficial fascia.

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