1 Day Of Abdominal in Surgery — 21yo Woman | General Surgery | SMLE Q#544
SMLE Question #544
Surgery
General Surgery
Last updated: February 2026
A 21-year-old woman, G1P1, presents with 1 day of abdominal pain with nausea and multiple episodes of vomiting. The pain started periumbilically and later localized to the right lower quadrant. Urine pregnancy test is negative. Abdominal examination shows right lower quadrant tenderness with guarding, maximal at McBurney point, with no cervical motion tenderness. What is the most likely diagnosis?
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