MKSAP has been trusted by internists since 1967 as the best resource for updating knowledge. MKSAP 17, available in Complete, Digital, and Print packages, consists of 11 comprehensive text chapters with related multiple-choice questions. You'll find 1,200 completely new questions to help you identify learning gaps, stay current, and gain the knowledge you need to provide the best possible patient care. MKSAP 17's original and high-quality questions evolve out of case studies and patient scenarios based on the latest evidence.
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MKSAP 17 Q & A
A 27-year-old man is evaluated in the emergency department for dull, throbbing, left testicular pain occurring over the past week. He also notes urinary frequency and dysuria, but no penile discharge. He reports no back pain, weight loss, or fever. Medical history is unremarkable. His only medication is ibuprofen, which he takes as needed for pain. He is sexually active with several different partners and uses barrier protection only intermittently. He reports no testicular trauma.
On physical examination, blood pressure is 126/64 mm Hg, and pulse rate is 90/min. BMI is 22. The penis appears normal without discharge at the meatus. The left testicle is boggy and exquisitely tender to palpation over the superior pole. The testicular pain lessens with elevation of the testis.
Laboratory studies reveal a normal complete blood count, and urinalysis with microscopy shows 2 leukocytes/hpf.
Which of the following is the most likely diagnosis?
A: Epididymitis
B: Testicular torsion
C: Urinary tract infection
D: Varicocele