10 free SPEX practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
SPEX Practice Test 14Tutor mode
Question 1 of 10
Patient Care: Diagnosis
A 13-year-old boy is brought to the emergency department 3 hours after he awoke with sudden, severe pain in the left side of his scrotum. He has vomited twice. He has had no trauma, fever, or urinary symptoms and is not sexually active. Temperature is 37.2°C (99.0°F), pulse is 108/min, respirations are 18/min, and blood pressure is 124/78 mm Hg. The left testis is swollen, diffusely tender, and lies higher than the right with a horizontal orientation. Lifting the testis does not relieve the pain. The left cremasteric reflex is absent. There is no tender nodule at the upper pole and no inguinal bulge. Urinalysis is normal. Which of the following is the most likely diagnosis?