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General Surgery · Urology
Sample itemWhich symptom requires urgent assessment for testicular torsion in an adolescent?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Sudden severe unilateral scrotal pain
Testicular torsion causes abrupt severe unilateral scrotal pain and threatens testicular viability within hours, so urgent urological or surgical exploration should not be delayed for nonessential testing when suspicion is high.
Option by option
A. Sudden severe unilateral scrotal pain (correct)
Correct: sudden severe scrotal pain is torsion until proven otherwise.
B. Slowly enlarging painless hydrocele
A painless hydrocele usually has a different and less time-critical course.
C. Intermittent nasal congestion
Nasal congestion is unrelated to scrotal vascular compromise.
D. Mild chronic groin itch
Groin itch does not indicate spermatic-cord torsion.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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