08-18-2014, 12:43 PM
3.
A 66-year-old postmenopausal woman comes to the office for her periodic health evaluation. During the visit she says she has had continuous vaginal bleeding for the past 3 months. Her uterus and ovaries have been normal to palpation on previous yearly examinations, and she is taking cyclic hormone replacement therapy with estrogen and progesterone. Physical examination today, including pelvic examination, discloses no abnormalities. Which of the following is the most appropriate next step?
A) Do endometrial sampling
B) Order a serum estrogen concentration
C) Order serum follicle-stimulating hormone (FSH) and serum luteinizing hormone (LH) concentrations
D) Order ultrasonography of the pelvis
E) Schedule colposcopy
A 66-year-old postmenopausal woman comes to the office for her periodic health evaluation. During the visit she says she has had continuous vaginal bleeding for the past 3 months. Her uterus and ovaries have been normal to palpation on previous yearly examinations, and she is taking cyclic hormone replacement therapy with estrogen and progesterone. Physical examination today, including pelvic examination, discloses no abnormalities. Which of the following is the most appropriate next step?
A) Do endometrial sampling
B) Order a serum estrogen concentration
C) Order serum follicle-stimulating hormone (FSH) and serum luteinizing hormone (LH) concentrations
D) Order ultrasonography of the pelvis
E) Schedule colposcopy