A 19-Year-Old Man Comes to the Emergency Department Due to Dysuria

A 19-year-old man comes to the emergency department due to dysuria and scrotal pain.  The patient first noticed discomfort with urination and a watery urethral discharge 3 days ago.  Yesterday, he developed pain on the left side of the scrotum while sitting in class.  Vital signs are normal.  On examination, tender swelling is present along the posterior aspect of the left testis, which is otherwise normal in size and position.  Diagnostic testing reveals Chlamydia trachomatis as the sole causative pathogen.  Which of the following additional results are most consistent with this patient's diagnosis?

A) A
B) B
C) C
D) D
E) E

Correct Answer:

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