This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': 'A 13-year-old boy present with acute onset right scrotal pain. The pain is not relieved on the elevation of the scrotum and he has no fever or dysuria. The testis is enlarged and tender. His routine urinary examination is normal. There is no history of trauma. Which of the following is the most appropriate management - \nSelect and explain. \nA. Immediate exploration, B. Antibiotics, C. Psychiatric evaluation, D. Antibiotics and scrotal elevation', 'role': 'user'}, {'content': 'Answer: A \nExplanation: This is a case of torsion of the testis.\nTorsion of the testis is a surgical emergency and needs immediate exploration if it cannot be relieved by manipulation.', 'role': 'assistant'}]