The Master Surgeon | Free Multiple Choice Questions (MCQs)

QUESTION NO

An 18 year old girl is brought to the A&E department with worsening, severe lower abdominal pain which started 6 hours ago. Her abdomen is tender particularly in the lower quadrants and there is guarding. She also has a history of Chlamydia. She is tachycardic but her blood pressure is normal at 135/78. Which ONE of the following is the most important diagnosis that you should confirm/rule out in this patient?

Please select one of the following:

Acute appendicitis
Pelvic inflammatory disease
Acute intestinal obstruction
An ectopic pregnancy
Chron’s disease

Question By Mr. Kasun Wanigasooriya MBCHB, MRCS.