USMLE step 2 Mcq 279:A 34 year old patient is urgently admitted to the Emergency department

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Question:
A 34 year old patient is urgently admitted to the Emergency department. He had been involved in a rough tackle to the abdomen on the football field and collapsed soon after. There was no sign of any external abdominal injury .He was found to have hypotension .He was conscious but pale and had cool, clammy skin. The surgical team are called and on finding a weak , thready pulse suspect that he is in hypotensive shock due to internal abdominal haemhorrhage. Damage to which of the following structures is the most likely cause of the haemorrhage

a) spleen
b) kidney
c) aorta
d) pancreas
e) inferior vena cava


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