RCIS Practice Test 2026 – All-in-One Exam Prep

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What is commonly required in cases of retroperitoneal hematoma after catheterization?

Immediate surgery

Observation and management

In cases of retroperitoneal hematoma following catheterization, observation and management are commonly required because many patients with this condition do not experience significant symptoms and may not need invasive interventions. Retroperitoneal hematomas can occur due to complications from vascular access, and in the absence of significant hemodynamic instability, the primary course of action is often to monitor the patient's condition, ensure that they are stable, and manage any symptoms that may arise.

This approach involves closely observing vital signs and checking hemoglobin levels to ensure that the patient is not experiencing significant blood loss. In many situations, the body can reabsorb the blood that has leaked out, leading to resolution over time without the need for immediate surgical intervention.

Management might include supportive care, such as IV fluids for hydration and potentially blood transfusions if there is significant anemia or ongoing bleeding. However, immediate surgery is generally reserved for cases where there is a clear indication of ongoing hemorrhage or life-threatening complications. Similarly, while IV fluids can be part of the management strategy, they are not the sole requirement. Prolonged bed rest is not a standard requirement, as early mobilization can be beneficial for recovery in many cases. Overall, observation and management are typically the preferred choices in

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IV fluids only

Prolonged bed rest

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