Suspected ovarian torsion — DRCOG MCQ
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Correct answer: C — Refer immediately to emergency gynaecology
Refer immediately to emergency gynaecology is the best answer because the vignette is testing Suspected ovarian torsion and the recommended approach is consistent with RCOG emergency guidance. The other advice would give incomplete safety-netting, miss a contraindication, or use guidance intended for a different clinical setting. Specifically, Use venous thromboembolism precautions when travelling; Delay hormonal contraception for five days after ulipristal; Take folic acid and vitamin D as recommended; Seek same-day care if fever or systemic symptoms develop would be suboptimal in this scenario. Good advice includes both the guideline recommendation and clear safety-netting.
Reference: RCOG emergency guidance