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Testicular torsion — MCCQE Part 1 MCQ

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EasyScrotal PainTesticular torsionMCCQE Part 1

A 10-year-old boy has a 1-day painful swollen scrotum. Right testis high-riding, horizontal lie, extremely tender. Absent cremasteric reflex. No fever, normal urinalysis. Most appropriate management?

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Correct answer: B — Emergent surgical exploration

Testicular torsion: clinical diagnosis + surgical emergency. Do NOT delay for US. 6-hour salvage window. Bilateral orchidopexy at surgery. Epididymitis rare in prepubertal children.

Reference: CUA Paediatric Urology