American Board of Internal Medicine (ABIM) Certification Practice Exam

All of the following are common indications for catheter placement EXCEPT:

1. Management of acute urinary retention

2. Measurement of urine output in critically ill patients

3. Management of fractures

4. Management of hematuria with clots

The correct answer is: Management of fractures

The management of fractures does not typically require catheter placement. Catheters are generally used to address specific urinary issues or for monitoring purposes in a medical setting, while fractures are primarily managed through immobilization and stabilization techniques, such as casts or splints, rather than through urinary intervention. In the context of the other options, catheter placement is a common and accepted practice for management of acute urinary retention, where it provides immediate relief by draining the bladder. Measurement of urine output in critically ill patients is crucial for assessing kidney function and fluid status, which often requires catheterization for accurate monitoring. Additionally, in cases of hematuria with clots, catheterization can help in managing the blockage while allowing for proper drainage and evaluation of the urinary tract. Understanding these clinical scenarios highlights the specific contexts in which catheterization is warranted, reinforcing why fractures fall outside the typical indications for this procedure.