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Testicular torsion — USMLE Step 3 MCQ

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EasySurgery (post-operative, follow-up)Testicular torsionUSMLE Step 3

A 15-year-old boy has sudden severe left testicular pain with nausea. The left testis is high-riding and tender with absent cremasteric reflex. Urinalysis is normal. Which of the following is the most likely diagnosis?

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Correct answer: C — Testicular torsion

Sudden testicular pain, high-riding testis, nausea, and absent cremasteric reflex suggest torsion requiring urgent intervention.

Reference: AUA acute scrotum guidance