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General Surgery · Urology: testicular torsion
Sample itemAn adolescent with sudden severe unilateral scrotal pain and a high-riding testis needs what?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Immediate surgical exploration
Testicular torsion threatens viability within hours; urgent urologic exploration and detorsion are indicated. Imaging must not delay surgery when clinical suspicion is high.
Option by option
A. Immediate surgical exploration (correct)
Correct. Time-critical surgery can salvage the testis.
B. Delayed ultrasound next week
Delay risks infarction.
C. Elective varicocele repair
Varicocele repair is unrelated.
D. Trial of oral antibiotics only
Antibiotics do not treat 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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