USMLE step 2 Mcq 236:A 20 year old sexually active man is admitted into the emergency department because of low abdominal pain

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Question:
A 20 year old sexually active man is admitted into the emergency department because of low abdominal pain. He has not passed urine for 10 hours although the urge to urinate is overwhelming.He had noticed a poor urine flow stating that it has been getting slower over the last week. . The most likely cause of his symptoms is
a) urethral stricture
b) recto-vesical fistula
c) ureterocoele
d) posterior urethral valves
e) Behcet's syndrome


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