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Table 2 Example of a clinical vignette with items from the therapeutic section of the SC test.

From: On line clinical reasoning assessment with Script Concordance test in urology: results of a French pilot study

If you were considering doing:

And then you find:

The effect on the relevance of this treatment becomes:

Abstention and surveillance

Almost normal clinical examination, but presence of a microscopic hematuria

-2 -1 0 +1 +2

Surgical exploration

Normal clinical examination, despite an aching epididymitis point

-2 -1 0 +1 +2

Abstention and surveillance

The trauma occurred 3 days ago and clinical examination reveal inflammatory scrotum

-2 -1 0 +1 +2

Surgical exploration

Normal clinical examination. A scrotal ultrasonography shows a hematocele layer and an intra-testicular contusion with no apparent fracture

-2 -1 0 +1 +2

  1. A 27 year-old male patient has been admitted in the emergency room for a scrotal trauma during a football match. The emergency doctor contacts you for this patient's therapeutic care.