Ultrasound: testicular torsion: practice question

A Radiology 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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Radiology · Ultrasound: testicular torsion

Sample item

A teenager with sudden scrotal pain has an enlarged hypoechoic testis with absent intratesticular Doppler flow. What is the diagnosis?

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

The answer and the reasoning

A. Testicular torsion

Absent intratesticular flow in the appropriate acute presentation supports testicular torsion, an ischemic emergency. Clinical suspicion should prompt urgent urologic management without harmful delay.

Option by option

  • A. Testicular torsion (correct)

    Correct. Reduced or absent flow is a key torsion finding.

  • B. Hydrocele

    Hydrocele is fluid around the testis.

  • C. Varicocele

    Varicocele is dilated pampiniform venous plexus.

  • D. Epididymitis only

    Epididymitis often has increased rather than absent flow.

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 Radiology question

What is the answer to this Radiology question?

The best answer is A, Testicular torsion. Absent intratesticular flow in the appropriate acute presentation supports testicular torsion, an ischemic emergency.

Why is "Hydrocele" not the answer?

Hydrocele is fluid around the testis.

Why is "Varicocele" not the answer?

Varicocele is dilated pampiniform venous plexus.

Why is "Epididymitis only" not the answer?

Epididymitis often has increased rather than absent flow.

What concept does this question test?

It tests Ultrasound: testicular torsion in Radiology. Clinical suspicion should prompt urgent urologic management without harmful delay.

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 Ultrasound: testicular torsion?

Learn signs with the image, and the disease they point to. Then use the flashcards and the other Radiology 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.