Page 192 - Demo

Question 23A 30-year-old woman presents with sudden onset of severe right lower quadrant pain. Ultrasound shows an enlarged right ovary. What is the most appropriate next step in management?A) Prescribe oral antibioticsB) Arrange immediate surgical explorationC) Perform a pregnancy testD) Prescribe oral contraceptivesE) Observe for 24 hoursAnswer: B) Arrange immediate surgical explorationExplanation: The presentation is highly suggestive of ovarian torsion, which is a surgical emergency. Immediate exploration is necessary to prevent ovarian necrosis and preserve fertility.