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Ovarian torsion — RCPSC EM MCQ

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ModerateOB/GYN emergenciesOvarian torsionRCPSC EM

CTAS 2. A 17-year-old has sudden severe right pelvic pain with vomiting. Pregnancy test is negative. Pelvic exam shows right adnexal tenderness. She has intermittent similar pain for 2 days and Doppler ultrasound is available. What is the most appropriate investigation?

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

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Correct answer: E — Urgent pelvic ultrasound with Doppler and gynaecology consultation

Ovarian torsion presents with sudden pelvic pain and vomiting; ultrasound with Doppler helps assessment, but normal flow does not exclude torsion.

Reference: SOGC adnexal torsion resources; Tintinalli's Emergency Medicine