A 24-year-old woman presents with right lower quadrant pain, nausea and low-grade fever. She has localised peritoneal tenderness. Pregnancy test is ne...

Question

A 24-year-old woman presents with right lower quadrant pain, nausea and low-grade fever. She has localised peritoneal tenderness. Pregnancy test is negative. What is the most appropriate next diagnostic step?

Accepted Answer

Order transabdominal and transvaginal ultrasound of the pelvis and right lower quadrant

Answer

Reassure and discharge without imaging

Answer

Order abdominal and pelvic CT scan with contrast

Answer

Treat empirically with antibiotics without confirming diagnosis

Answer

Order colonoscopy urgently

ca-mccqe1 MCQ (SBA): Suspected appendicitis

A 24-year-old woman presents with right lower quadrant pain, nausea and low-grade fever. She has localised peritoneal tenderness. Pregnancy test is negative. What is the most appropriate next diagnostic step?