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A Workman Engaged in Demolishing a Building Lost His Balance

Question 2

Multiple Choice

A workman engaged in demolishing a building lost his balance and fell astride a girder on the floor below. On examination, he was found to have extensive swelling of his perineum, scrotum, and penis. He was unable to urinate normally, passing only a few drops of bloodstained urine. The lower part of the anterior abdominal wall was also swollen, but his thighs were normal.
-The symptoms and signs displayed by this patient can be explained by the following statements except which?


A) The patient's fall ruptured the urethra in the perineum.
B) When the patient attempted to micturate, the urine extravasated beneath Colles' fascia.
C) The urine passed over the scrotum and penis under the membranous layer of superficial fascia.
D) The urine passed upward beneath the membranous layer of superficial fascia on the anterior abdominal wall.
E) The urine could not extend posteriorly because of the attachment of Colles' fascia to the tip of the coccyx.
F) The urine did not extend into the thigh because of the attachment of the membranous layer of superficial fascia to the fascia lata, just below the inguinal ligament.

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