PANCE Exam Practice Questions: Quiz 199

A 22-year-old female presents complaining of progressive lower abdominal pain, fever, and purulent vaginal discharge for 3 days. She denies vaginal bleeding or spotting. Her last menstrual period was 3 weeks ago and described as regular flow.The patient reports sexual intercourse 1 week ago with a new partner. Temperature is 101.3F.There is diffuse lower abdominal tenderness with guarding to palpation. Speculum exam reveals a mucopurulent cervicitis, bilateral adnexal tenderness without masses, and marked cervical motion tenderness. What is the most likely diagnosis?
- A. adnexal torsion
- B. ectopic pregnancy
- C. pelvic inflammatory disease
- D. ruptured functional ovarian cyst

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