Sudden Severe Sharp Lower in Obstetrics & Gynecology — 35yo Woman | General Gynecology | SMLE Q#11217
SMLE Question #11217
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 35-year-old woman, G3P1A1, presents with sudden severe sharp lower abdominal pain for 3 hours, maximal in the right iliac fossa and radiating to the right shoulder. She has had 6 weeks of amenorrhea and mild vaginal spotting for 2 days and feels dizzy on standing. She appears pale with lower abdominal guarding (right > left) and cervical motion tenderness. What is the most likely diagnosis?
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