Gynecologic Emergencies Practice Test

A 22-year-old female presents with severe, localized pain on the right side of her vulva. The pain is rated 9/10, has worsened over two days, and is exacerbated by walking or sitting. On inspection, you note a 3 cm, tense, erythematous, and exquisitely tender swelling on the right labia majora near the vaginal opening. She has a temperature of 100.9°F (38.3°C).

You are dispatched to a 22-year-old female complaining of worsening bilateral lower abdominal pain over the past three days. She reports a fever, chills, and a foul-smelling vaginal discharge. Vital signs are BP 110/70 mmHg, HR 112 beats/min, RR 20 breaths/min, and T 101.8°F (38.8°C). During assessment, she walks with a distinct shuffling gait and complains of increased pain with any jarring movement.