3 Days Of Progressively in Medicine / Internal Medicine — Case | Infectious Diseases | SMLE Q#10996
SMLE Question #10996
Medicine / Internal Medicine
Infectious Diseases
Objective: OBJ-349
Last updated: February 2026
A 22-year-old sexually active woman presents with 3 days of progressively worsening bilateral lower abdominal pain, worse with movement and intercourse. She reports subjective fever and chills and has mucopurulent vaginal discharge. Pelvic examination shows abundant mucopurulent cervical discharge, marked cervical motion tenderness, and bilateral adnexal tenderness. The abdomen is soft with mild suprapubic tenderness and no right upper quadrant or right lower quadrant peritoneal signs. What is the most likely diagnosis?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.