A primary care provider is preparing to refer a 10-month-old boy with a nonpalpable undescended testis. They ask if an imaging study should be ordered first to locate the testis. Which response is consistent with best practice guidelines?

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Imaging is not indicated. The correct answer is that imaging is not indicated. Clinical guidelines recommend against ultrasound or other imaging for nonpalpable testes prior to referral because these studies have low sensitivity for intra-abdominal testes and a negative result does not change the need for surgical exploration/laparoscopy. Distractor 1 suggests an unnecessary and often misleading test. Distractor 2 involves radiation and sedation which are unjustified. Distractor 3 is invasive and not a screening tool. Distractor 4 is incorrect because imaging delays definitive management.

A primary care provider is preparing to refer a 10-month-old boy with a nonpalpable undescended testis. They ask if an imaging study should be ordered first to locate the testis. Which response is consistent with best practice guidelines?

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