Urology: testicular torsion: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Urology: testicular torsion

Sample item

An adolescent has sudden severe unilateral scrotal pain, vomiting, high-riding horizontal testis, and absent cremasteric reflex. What is the next step?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Urgent surgical exploration for suspected testicular torsion

Testicular torsion is a time-critical ischemic emergency; clinical suspicion warrants urgent urologic exploration without delaying definitive care for imaging. Salvage declines rapidly with time.

Option by option

  • A. Urgent surgical exploration for suspected testicular torsion (correct)

    Correct. The presentation is highly suspicious and needs immediate exploration.

  • B. Reassure because torsion is unlikely

    Reassurance risks testicular loss.

  • C. Wait for antibiotics to work

    Antibiotics do not reverse spermatic-cord twisting.

  • D. Delay for routine outpatient ultrasound

    Imaging should not delay surgery when suspicion is high.

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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Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is A, Urgent surgical exploration for suspected testicular torsion. Testicular torsion is a time-critical ischemic emergency; clinical suspicion warrants urgent urologic exploration without delaying definitive care for imaging.

Why is "Reassure because torsion is unlikely" not the answer?

Reassurance risks testicular loss.

Why is "Wait for antibiotics to work" not the answer?

Antibiotics do not reverse spermatic-cord twisting.

Why is "Delay for routine outpatient ultrasound" not the answer?

Imaging should not delay surgery when suspicion is high.

What concept does this question test?

It tests Urology: testicular torsion in General Surgery. Salvage declines rapidly with time.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Urology: testicular torsion?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.