A 47-year-old woman has heavy irregular uterine bleeding for 5 months. Pregnancy test is negative. BMI is 34 kg/m2. Pelvic examination shows no

Question

A 47-year-old woman has heavy irregular uterine bleeding for 5 months. Pregnancy test is negative. BMI is 34 kg/m2. Pelvic examination shows no cervical lesion. Which of the following is the most appropriate next step in management?

Accepted Answer

Perform endometrial biopsy

Answer

Start antibiotics for cervicitis without testing

Answer

Order CA-125 as first test

Answer

Reassure and review at menopause

Answer

Perform hysterectomy without sampling

Abnormal uterine bleeding — USMLE Step 3 MCQ

A 47-year-old woman has heavy irregular uterine bleeding for 5 months. Pregnancy test is negative. BMI is 34 kg/m2. Pelvic examination shows no cervical lesion. Which of the following is the most appropriate next step in management?