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OBG · Gynecologic emergencies
Sample itemWhich ovarian torsion symptom requires urgent gynecologic evaluation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Sudden severe unilateral pelvic pain with nausea
Ovarian torsion compromises ovarian blood supply and often causes abrupt unilateral pelvic pain with nausea or vomiting; prompt assessment is needed to maximize ovarian salvage.
Option by option
A. Chronic gradual hearing loss
Hearing loss does not indicate adnexal torsion.
B. Mild seasonal sneezing
Seasonal sneezing suggests allergy.
C. Painless red eye
A painless red eye has a different ophthalmic differential.
D. Sudden severe unilateral pelvic pain with nausea (correct)
Correct: abrupt unilateral pain with nausea fits ovarian torsion.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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