This page is dedicated to organizing various examples of standardized exam questions whose answer is ovarian cyst rupture. While this may seem a odd practice, it is useful to see multiple examples of how ovarian cyst rupture will be characterized on standardized exams (namely the boards and the shelf exams). This page is not meant to be used as a tradition question bank (as all of the answers will be the same), however seeing the classic “test” characterization for a disease is quite valuable.
Question # 1
A 25 year old female comes to the emergency room because she is experiencing sharp, stabbing pelvic pain. She explains that this started immediately after sexual intercouse about 2 hours earlier. She has no fever and denies feeling nausea. Her past surgical history is remarkable for a laparoscopic appendectomy 5 years ago. The rest of her past medical history is unremarkable and she does not take any medications. Her last menstrual periods was 3 weeks ago. Her temperature is 98.2°F, blood pressure is 115/70 mm/Hg, and pulse is 95/min. Her abdomen is soft and tender in the right lower quadrant. Lab results are shown below:
- Hemoglobin: 12.5 g/dL
- Platelets: 300,000/mm³
- Leukocytes: 8,000/mm³
A urine pregnancy test is negative. A pelvic ultrasound is perfumed, that shows a 5×5 cm right cystic ovarian mass. There is also a moderate amount of free fluid in the pelvis. Doppler velocity is normal. What is the most likely diagnosis in this patient?
Explanation: no signs of infection + abdominal pain right after sex + ovarian mass + free fluid in the pelvis = ovarian cyst rupture
Page Updated: 10.16.2016