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Ovarian torsion — ABEM Board MCQ

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ModerateGI/Abdominal emergenciesOvarian torsionABEM Board

A 33-year-old woman arrives with sudden right pelvic pain, nausea, and vomiting. Triage acuity is ESI 2; BP 124/78 mm Hg, HR 106/min. Pregnancy test is negative. Pelvic exam shows right adnexal tenderness, and ultrasound shows an enlarged ovary with peripheral follicles and reduced flow. Which of the following is the most appropriate imaging study?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Transvaginal pelvic ultrasound with Doppler

Transvaginal ultrasound with Doppler is the preferred initial imaging test for suspected ovarian torsion, while definitive diagnosis may require surgery.

Reference: ACOG adnexal torsion guidance