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Postmenopausal bleeding — ABFM Board MCQ

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ModerateWomen's health/OB/GYNPostmenopausal bleedingABFM Board

A 63-year-old woman has postmenopausal bleeding for 2 weeks. She has obesity and type 2 diabetes. Pelvic examination shows blood from the cervical os and no cervical mass. Which of the following is the most appropriate next step?

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Correct answer: E — Endometrial evaluation with biopsy or transvaginal ultrasonography

Postmenopausal bleeding requires evaluation for endometrial cancer, especially with obesity and diabetes. Endometrial biopsy or transvaginal ultrasonography to assess endometrial thickness is appropriate.

Reference: ACOG Evaluation of Postmenopausal Bleeding Guidance