A 55-year-old postmenopausal female presents with painless light vaginal bleeding for 2 weeks. She has been in menopause for 4 years and takes no hormone replacement therapy. What is the mandatory next diagnostic step?
Answer and explanation
Correct answer: D. Endometrial biopsy to rule out endometrial carcinoma
- Step 1: Postmenopausal bleeding is endometrial cancer until proven otherwise (approximately 10% of cases are malignant).
- Step 2: Transvaginal ultrasound (evaluating endometrial thickness, where > 4 mm is abnormal) and office endometrial biopsy are mandatory initial steps.
- Step 3: Endometrial tissue sampling provides histological diagnosis and directs oncological staging.
Answer
Endometrial biopsy to rule out endometrial carcinoma.
Practise more Obstetrics, Gynecology and Reproductive Health.
Free questions with an explanation for every one, and full timed Lebanese Medical Colloquium (Colloquium Liban) mock tests.
More Obstetrics, Gynecology and Reproductive Health questions
- A 28-year-old primigravida at 34 weeks gestation presents with headache, visual blurring, BP 165/110 mmHg, and 3+ proteinuria on dipstick. P…
- A 32-year-old multipara at 32 weeks gestation presents with sudden, painless, bright red vaginal bleeding. The uterus is soft, relaxed, and…
- A 26-year-old female at 35 weeks gestation presents with sudden continuous severe abdominal pain, dark vaginal bleeding, and painful uterine…
- Immediately following an uncomplicated vaginal delivery of a 4.1 kg infant, a mother develops massive continuous vaginal bleeding. The uteri…
- A 24-year-old female presents with 6 weeks of amenorrhea, right lower quadrant pelvic pain, and vaginal spotting. Serum beta-hCG is 2,800 mI…
- A 22-year-old female presents with acute severe left lower quadrant pain, nausea, and vomiting. Physical examination reveals exquisite left…