Closed Cervical Os in Obstetrics & Gynecology — 32yo Woman | General Gynecology | SMLE Q#1175
SMLE Question #1175
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 32-year-old woman has 1 week of gradually worsening right lower abdominal pain and mild vaginal spotting. She has had 2 months of amenorrhea and is sexually active without contraception. She previously underwent surgery for ruptured appendicitis. Pelvic examination shows right adnexal tenderness and mild cervical motion tenderness, with a closed cervical os. What is the most likely diagnosis?
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