Page 174 - Demo

Question 5A 22-year-old woman presents with sudden onset of severe right lower quadrant pain. On examination, a tender, mobile mass is felt in the right adnexa. Pregnancy test is negative. What is the most likely diagnosis?%u2022Appendicitis%u2022Ectopic pregnancy%u2022Ovarian cyst%u2022Ovarian torsion%u2022Pelvic inflammatory diseaseAnswer: Ovarian torsionExplanation: The sudden onset of severe unilateral lower abdominal pain, along with the finding of a tender, mobile mass in the adnexa, is highly suggestive of ovarian torsion. The negative pregnancy test helps rule out ectopic pregnancy. Ovarian torsion is a gynecological emergency that requires prompt surgical intervention to prevent ovarian necrosis.