MRCS PART A · ACUTE UROLOGY

Acute urology decisions

Recognise the threat. Choose the right drainage. Reassess the result.

Examination practice · 6 fictional adult patients · session-only progress · no patient information

Choose a patient

Patient 1 / 60 completed

Sudden scrotal pain with an uncertain scan

A 19-year-old has sudden severe left scrotal pain and vomiting. The emergency department asks whether to book tomorrow's ultrasound. Select findings while arranging urgent senior assessment; a teaching checklist must not delay emergency care.

1. Choose the information you need

Only one answer opens at a time. Questions do not alter the patient's facts. In a real emergency, assessment and escalation run together.

2. Which next action best fits the available evidence?A. Start antibiotics and review pain tomorrowB. Request immediate surgical/urological assessment for suspected torsion, analgesia and preparation for urgent exploration without delaying for routine DopplerC. Discharge because the previous episode resolvedD. Wait for a positive urine culture before decidingE. Exclude torsion if any testicular flow is reported

Sources and scope

Guidance checked. Independent MRCS practice, not official exam material or a bedside protocol. Verify current guidance and local emergency procedures. Doses and techniques not specified here need competent clinical prescribing and assessment.