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Postmenopausal bleeding — DRCOG MCQ

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EasyGynaecological OncologyPostmenopausal bleedingDRCOG

A 55-year-old woman is 67 with new postmenopausal bleeding and no hormone replacement therapy. What is the most appropriate management?

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Correct answer: E — Refer on a suspected endometrial cancer pathway

Refer on a suspected endometrial cancer pathway is the best answer because the vignette is testing Postmenopausal bleeding and the recommended approach is consistent with NICE NG12. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Book a non-urgent community midwife appointment; Start combined hormonal contraception; Repeat symptoms review in three months; Request outpatient ultrasound in three months would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.

Reference: NICE NG12