This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
A young man gets into a fight after taking beer and is kicked by the lower abdomen. There was pelvic fracture. Blood at meatus. Most likely cause is 
Select and explain. 
A. Bulbar urethral injury, B. Kidney laceration, C. hematuria, D. Rupture of membranous urethra
A: Bulbar urethral injury
Answer: A: Bulbar urethral injury 
Explanation: Rupture of membranous urethra is usually associated with pelvic fractures. It is characterised by blood in external meatus, failure or difficulty in passing urine, extravasation of urine to scrotum, perineum and abdominal wall, shock .
Bulbar urethral injury is usually d/t a fall astride a projecting object leading to blood at meatus, perineal hematoma, retention of urine.
In case of kidney laceration- features of shock, hematuria, clot colic, bruising,swelling and tenderness in the loin.