A 24-year-old man presents with acute onset unilateral testicular pain, swelling and a high-riding testis. The cremasteric reflex is absent. What is t...

Question

A 24-year-old man presents with acute onset unilateral testicular pain, swelling and a high-riding testis. The cremasteric reflex is absent. What is the most appropriate next step?

Accepted Answer

Urgent urological consultation for suspected testicular torsion and surgical exploration

Answer

Order scrotal ultrasound and await results before any further action

Answer

Treat with antibiotics for presumed epididymitis and review in 48 hours

Answer

Provide NSAIDs and scrotal support only

Answer

Order CT abdomen and pelvis

ca-mccqe1 MCQ (SBA): Testicular torsion

A 24-year-old man presents with acute onset unilateral testicular pain, swelling and a high-riding testis. The cremasteric reflex is absent. What is the most appropriate next step?