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Question 4A 30-year-old woman with a history of pelvic inflammatory disease presents with high fever, nausea, vomiting, and severe lower abdominal pain. What is the most likely diagnosis?%u2022 Ectopic pregnancy%u2022 Ovarian torsion%u2022 Tubo-ovarian abscess%u2022 Acute appendicitis%u2022 EndometriosisAnswer: Tubo-ovarian abscessExplanation: A tubo-ovarian abscess is a serious complication of pelvic inflammatory disease (PID). The presentation of high fever, nausea, vomiting, and severe lower abdominal pain in a patient with a history of PID is highly suggestive of a tubo-ovarian abscess. This condition requires prompt diagnosis and treatment, often involving intravenous antibiotics and possible surgical intervention.

