skip to main content

Heavy menstrual bleeding — USMLE Step 3 MCQ

Instant feedback + full explanation. One question, done properly.

ModerateOB/GYN (prenatal care, contraception, screening)Heavy menstrual bleedingUSMLE Step 3

A 42-year-old woman has progressively heavy regular menses for 8 months. She soaks pads every 1 to 2 hours on the first two days. Pregnancy test is negative. Hemoglobin is 9.8 g/dL. Pelvic examination shows a uniformly enlarged, nontender uterus. Which of the following is the most appropriate next step in management?

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

Reveal the answer and explanation

Correct answer: C — Obtain pelvic ultrasonography and endometrial sampling based on risk and age

Abnormal uterine bleeding in patients age 45 or with risk factors needs evaluation for structural disease and endometrial pathology; imaging helps assess fibroids.

Reference: ACOG abnormal uterine bleeding guidance: https://www.acog.org/