Postmenopausal bleeding — DRCOG MCQ
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Correct answer: A — Refer on a suspected cancer pathway within two weeks
Refer on a suspected cancer pathway within two weeks is the best answer because the vignette is testing Postmenopausal bleeding and the recommended approach is consistent with NICE NG12. The other advice would give incomplete safety-netting, miss a contraindication, or use guidance intended for a different clinical setting. Specifically, Delay hormonal contraception for five days after ulipristal; Take folic acid and vitamin D as recommended; Keep a symptom diary before review; Seek same-day care if fever or systemic symptoms develop would be suboptimal in this scenario. Good advice includes both the guideline recommendation and clear safety-netting.
Reference: NICE NG12