Question

A 68-year-old woman presents to her GP with a single episode of vaginal bleeding occurring 15 years after her last menstrual period. She denies any other symptoms. What is the single most appropriate initial investigation according to NICE guideline NG12?

Accepted Answer

Transvaginal Ultrasound Scan (TVUS)

Answer

Cervical smear (Pap test)

Answer

High Vaginal Swab (HVS)

Answer

Serum CA-125 level

Answer

Diagnostic Hysteroscopy

Practice question

A 68-year-old woman presents to her GP with a single episode of vaginal bleeding occurring 15 years after her last menstrual period. She denies any other symptoms. What is the single most appropriate initial investigation according to NICE guideline NG12?