Gross Anatomy USMLE Step 1 Practice Question
A 16-year-old boy presents with left-sided scrotal swelling and pain. Vital signs: BP 118/76 mmHg, HR 88/min, RR 16/min, Temp 37°C, SpO2 98% on room air. Physical examination reveals a palpable "bag of worms" on the left. Scrotal ultrasound demonstrates dilation of the pampiniform plexus with venous reflux on Valsalva maneuver. Abdominal imaging shows compression of a vessel between the superior mesenteric artery and aorta. No hematuria is noted. Which vessel is most directly affected?
Answer choices
- ALeft testicular vein
- BInferior mesenteric vein
- CInferior vena cava
- DRight testicular vein
- ELeft renal veinCorrect answer
- FLeft gonadal artery
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