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USMLE® Step 1 questions

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USMLE® Step 1 style questions USMLE

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A 26-year-old man comes to the emergency department for evaluation of acute testicular pain. The pain has been progressively worsening over the past five days. He has no pain with urination, but there is significant tenderness with manipulation of the scrotum. He is sexually active with two partners and does not use barrier protection. Temperature is 37.0°C (98.6°F), pulse is 94/min, and blood pressure is 125/80 mmHg. Physical examination reveals pain with palpation of the right testis posteriorly. Stroking of the right inner thigh results in elevation of the right testis. Which of the following additional clinical findings will most likely be observed in this patient?  


Epididymitis is a condition that results when the epididymis, a curved structure that lies behind the testicles, becomes inflamed. The epididymis normally collects and stores sperm made in the testicles. Epididymitis can be caused by a number of things, including sexually transmitted infections (such as chlamydia and gonorrhea), bacteria that can enter the urinary tract, and blockages of the urinary tract. It can also be caused by problems with the immune system or by injuries to the testicles or epididymis. Symptoms of epididymitis include pain and swelling in the scrotum, fever, nausea, and vomiting.


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