Postmenopausal bleeding — CCFP MCQ
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Correct answer: D — Obtain endometrial tissue sampling and arrange gynecologic evaluation
Explanation lettering: B = shown as A · C = shown as B · D = shown as C · A = shown as D
A is correct. Postmenopausal bleeding with an abnormally thick endometrium requires tissue assessment to exclude hyperplasia or malignancy. B delays diagnosis. C targets the wrong organ. D uses screening to investigate a uterine symptom. E treats before tissue diagnosis and may mask disease.
Reference: Canadian Family Physician: Postmenopausal bleeding: https://www.cfp.ca/content/53/1/58.full