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 case of blunt trauma is brought to the emergency, in a state of shock; he is not responding to IV crystalloids; next step in his management would be: 
Select and explain. 
A. Immediate laparotomy, B. Blood transfusion, C. Albumin transfusion, D. Abdominal compression
A: Immediate laparotomy
Answer: A: Immediate laparotomy 
Explanation: A patient not responding to fluids is likely to have a continuous source of bleeding. An exploratory laparotomy to identify the source & appropriate management of the same, would be the best next step. Ref: CSDT, 11th Edition, Pages 252, 249.