skip to main content

Ovarian torsion — RCPSC EM MCQ

Instant feedback + full explanation. One question, done properly.

HardOB/GYN emergenciesOvarian torsionRCPSC EM

A patient has abrupt unilateral pelvic pain, vomiting and an enlarged ovary on ultrasound. Arterial and venous Doppler flow remain visible, but clinical suspicion for torsion is high. What is the next step?

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

Reveal the answer and explanation

Correct answer: E — Obtain immediate gynecology consultation for laparoscopic evaluation

Explanation lettering: D = shown as A · E = shown as B · B = shown as D · A = shown as E

A is correct because preserved Doppler flow cannot exclude intermittent or partial torsion; definitive diagnosis is laparoscopic. B, C, D and E allow time-sensitive ovarian ischemia to progress while seeking tests that cannot safely exclude the condition.

Reference: Emergency Care BC, Ovarian Torsion—Diagnosis and Treatment: https://emergencycarebc.ca/clinical_resource/clinical-summary/ovarian-torsion-diagnosis-and-treatment/