A 20-year-old sexually active woman presents with severe right-side abdominal pain that radiates to her back. She states that the pain came on sharply during intercourse about 15 minutes earlier, and she reports a small amount of vaginal bleeding. She states that her menstrual cycles have been irregular for the past 3 months. The most likely clinical diagnosis would be:

A) ruptured ectopic pregnancy.
B) ruptured ovarian cyst.
C) spontaneous abortion.
D) pelvic inflammatory disease.


B

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