Testicular Torsion — MRCEM SBA MCQ

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EasyEmergency Medicine/UrologyTesticular TorsionMRCEM SBA UKMLA PARA

A 22-year-old with suspected testicular torsion presents 4 hours after onset with severe pain and high-riding testis. Best next step:

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Correct answer: B — Urgent urological referral for exploration

Testicular torsion is a surgical emergency; immediate urological exploration is indicated based on clinical suspicion without delaying for ultrasound. Antibiotics are for infection. Manual detorsion may be attempted by specialists but surgery is still required. Observation risks testicular loss.

Reference: CKS: Scrotal pain/swelling - acute