Medical Council of Canada Qualifying Examination Part 1 Exam MCCQE Question # 80 Topic 9 Discussion
MCCQE Exam Topic 9 Question 80 Discussion:
Question #: 80
Topic #: 9
A 14-month-old boy is brought to see you for a well-baby check-up and is noted to have only one testis. Ultrasound confirms an undescended testis. Which one of the following is the best next step?
Orchiopexy is the treatment of choice for cryptorchidism and should be performed between 6–18 months of age. Early surgery improves fertility outcomes and reduces malignancy risk.
Toronto Notes 2023 – Pediatrics, Urology:
“Undescended testes should be referred for orchiopexy ideally before 18 months of age. Observation beyond 6 months is not recommended.”
“Candidates must recognize and refer for cryptorchidism early to optimize testicular function and reduce cancer risk.”
Hormonal therapies (C, D) are not recommended due to limited efficacy. Observation (A) is too late beyond
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