3 Hours Of Sudden in Obstetrics & Gynecology — 35yo Woman | General Gynecology | SMLE Q#12198
SMLE Question #12198
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 35-year-old woman presents with 3 hours of sudden, severe lower abdominal pain with lightheadedness and right shoulder tip pain. She reports irregular menses; her last menstrual period was about 6 weeks ago. She had unprotected intercourse and mild vaginal spotting yesterday. She looks pale and diaphoretic. The abdomen is diffusely tender with guarding and reduced bowel sounds. Pelvic examination shows cervical motion tenderness and right adnexal fullness. Which investigation has the highest immediate diagnostic value in this patient?
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