Urology: torsion of the appendix testis: 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: torsion of the appendix testis

Sample item

A 10-year-old has one day of pain at the upper pole of the testis. A small tender bluish dot is seen through the scrotal skin and the cremasteric reflex is present. What is the management?

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

The answer and the reasoning

B. Analgesia and rest

Torsion of the appendix testis causes localised upper pole tenderness and a blue dot sign with a preserved cremasteric reflex. It is self-limiting and treated with analgesia, with excision reserved for persistent pain.

Option by option

  • A. Orchidectomy

    Orchidectomy is only for a necrotic testis.

  • B. Analgesia and rest (correct)

    Correct. The condition is self-limiting and treated symptomatically.

  • C. Immediate scrotal exploration

    Exploration is for suspected torsion of the testis itself.

  • D. Antibiotics for epididymitis

    Antibiotics are for infective epididymitis, which does not present this way.

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 B, Analgesia and rest. Torsion of the appendix testis causes localised upper pole tenderness and a blue dot sign with a preserved cremasteric reflex.

Why is "Orchidectomy" not the answer?

Orchidectomy is only for a necrotic testis.

Why is "Immediate scrotal exploration" not the answer?

Exploration is for suspected torsion of the testis itself.

Why is "Antibiotics for epididymitis" not the answer?

Antibiotics are for infective epididymitis, which does not present this way.

What concept does this question test?

It tests Urology: torsion of the appendix testis in General Surgery. It is self-limiting and treated with analgesia, with excision reserved for persistent pain.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. 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: torsion of the appendix testis?

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.