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Medication Adverse Effect — MRCGP AKT MCQ

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HardGastroenterologyMedication Adverse EffectMRCGP AKTUKMLAPARA

A 56-year-old, 3 years after her final menstrual period, develops new vaginal bleeding while not taking HRT. What is the correct action?

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Correct answer: B — Postmenopausal-bleeding pathway for endometrial assessment

The best answer is “Postmenopausal-bleeding pathway for endometrial assessment”. Bleeding occurring more than 12 months after the final menstrual period is postmenopausal bleeding and requires urgent assessment to exclude endometrial and other genital-tract pathology. Most cases are benign, but symptom treatment or routine screening should not precede diagnostic evaluation.

Reference: NICE NG23: Menopause identification and management: https://www.nice.org.uk/guidance/ng23/chapter/Recommendations