A Young, Sexually Active Woman Comes to the Urgent Care

A young, sexually active woman comes to the urgent care clinic complaining of suprapubic abdominal pain. She is afebrile with rebound tenderness to the right side. There is no dysuria or vaginal discharge or odor. A pelvic examination is done. She has pain with cervical motion, and you palpate a painful mass over the left adnexal area. Your prioritized action is to

A) swab for gonococcal infection and then dip her urine.
B) obtain a surgical consult immediately.
C) remove the foreign body.
D) dip her urine and then swab for Chlamydia.
E) diagnose ovarian cyst and schedule follow-up.