Table 2.

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

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

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.