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		<swivt:creationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2026-07-31T09:41:24+00:00</swivt:creationDate>
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		<rdfs:label>WBR0565</rdfs:label>
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		<property:AnswerA rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Arteriography</property:AnswerA>
		<property:AnswerAExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect'''-Renal arteriography is not indicated routinely but should be performed to rule out renal pedicle injury when no kidney function is demonstrated by drip infusion pyelography.</property:AnswerAExp>
		<property:AnswerB rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Intravenous pyelogram</property:AnswerB>
		<property:AnswerBExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Correct'''-In stable patients with suspected genitourinary tract injury, the first urologic study other than a urinalysis should be on intravenous pyelogram.  The technique of high-dose drip infusion is desirable because the high concentration of contrast achieved greatly facilitates the interpretation in an unprepared patient.</property:AnswerBExp>
		<property:AnswerC rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Retrograde urethrography</property:AnswerC>
		<property:AnswerCExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect'''-Retrograde urethrography is done in cases where there is a suspicion of urethral injury.</property:AnswerCExp>
		<property:AnswerD rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Retrograde cystography</property:AnswerD>
		<property:AnswerDExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect'''-Intravenous pyelography should be performed before retrograde cystography to avoid obscuring visualization of the lower ureteral tract.</property:AnswerDExp>
		<property:AnswerE rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Diagnostic peritoneal lavage</property:AnswerE>
		<property:AnswerEExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect'''-Peritoneal lavage is not useful in the diagnosis of genitourinary injuries, as the structures involved are retroperitoneal.</property:AnswerEExp>
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		<property:MainCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Emergency Room</property:MainCategory>
		<property:PageAuthor rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Vendhan Ramanujam</property:PageAuthor>
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		<property:Prompt rdf:datatype="http://www.w3.org/2001/XMLSchema#string">A 20 year old high school football player is brought to emergency room with the complaint of passing blood in his urine.  He developed this complaint three hours after his football match when he got kicked in his left flank.  Physical examination does not reveal any significant finding.  His vital signs are heart rate 70 beats/min, respiratory rate 16/minute, blood pressure 110/70 mm Hg and oral temperature 36.8 C.  The initial diagnostic tests in the emergency room should include which of the following?</property:Prompt>
		<property:RightAnswer rdf:datatype="http://www.w3.org/2001/XMLSchema#string">B</property:RightAnswer>
		<property:SubCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Genitourinary</property:SubCategory>
		<property:SubCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Surgery</property:SubCategory>
		<property:WBRKeyword rdf:resource="&wiki;Intravenous_pyelogram"/>
		<property:WBRKeyword rdf:resource="&wiki;Genitourinary_tract_injury"/>
		<property:WBRKeyword rdf:resource="&wiki;Retrograde_urethrography"/>
		<property:WBRKeyword rdf:resource="&wiki;Retrograde_cystography"/>
		<swivt:wikiPageModificationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2020-10-28T00:58:47Z</swivt:wikiPageModificationDate>
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