A 58-year-old woman has postmenopausal bleeding. What is the first investigation?

Answer and explanation

Correct answer: C. Transvaginal ultrasound to measure endometrial thickness

  1. Step 1: Postmenopausal bleeding requires assessment of the endometrium.
Answer
Transvaginal ultrasound to measure endometrial thickness.
Why not the others: Observation, Cervical smear only and Hormone therapy do not fit.

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A 58-year-old woman… | SMLE (Saudi Medical Licensing Exam)