Professional and Linguistic Assessments Board (PLAB) Practice Exam

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In which condition will raising a painful testicle relieve pain?

  1. Testicular torsion

  2. Epididymitis

  3. Orchitis

  4. Inguinal hernia

The correct answer is: Epididymitis

In the case of epididymitis, raising a painful testicle can relieve pain due to the nature of the condition itself. Epididymitis is typically caused by inflammation of the epididymis, which can lead to discomfort and pain. Elevating the affected testicle can help reduce the tension on the structures within the scrotum, providing temporary relief from the discomfort associated with the inflammation. In contrast, testicular torsion is a surgical emergency characterized by twisting of the spermatic cord, which cuts off the blood supply to the testicle. This condition generally leads to severe and persistent pain that is not alleviated by changes in position. Orchitis, which involves inflammation of the testicle, may also produce significant pain that does not respond to elevation of the testicle. An inguinal hernia might present with pain that is sometimes relieved when the hernia is reduced or pushed back into the abdomen, but it does not typically involve the same relief from elevating the testicle as seen in epididymitis.