Surgery Shelf Practice Questions - NBME Clinical Science Subject Examination In Surgery Exam

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A 31-year-old man has a gunshot wound to the abdomen. He is confused, pulse is 138/min, blood pressure is 78/42 mm Hg, and the abdomen is rigid. Two large-bore IVs are placed and blood is requested. What is the most appropriate next step?

Diagnostic peritoneal lavage CT scan of the abdomen and pelvis Immediate exploratory laparotomy Serial abdominal examinations

Correct Answer:

Immediate exploratory laparotomy

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