We offer access to questions covering the CEM database and LEK questions from 2008.
We offer access to archived PES questions from the CEM website and unpublished questions from the latest 5 years for selected specializations.
28.
A 27-year-old woman with severe abdominal pain was admitted to the ER. She had fainted at home. She complains of the pain of the whole abdomen, lasting for 2 hours. The pain had acute onset in the lower abdomen. She can’t remember the date of her last menstruation period, but she confirms no periods for more than a month. On palpation increase muscle tone and tenderness are observed. Other findings include pale skin, BP 80/60 mmHg, HR 120/min. Which condition should be excluded in the first place?