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Abnormal uterine bleeding — ABFM Board MCQ

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ModerateWomen's health/OB/GYNAbnormal uterine bleedingABFM Board

A 47-year-old woman with obesity has 6 months of irregular heavy bleeding. Pregnancy test is negative. She has not had gynecologic care in several years. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Endometrial biopsy

Abnormal uterine bleeding in patients at least 45 years old or with endometrial cancer risk factors warrants endometrial sampling.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html