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OBG · Gynaecology
Sample itemWhich symptom warrants urgent investigation for endometrial cancer?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Postmenopausal vaginal bleeding
Postmenopausal bleeding is endometrial cancer until excluded and requires prompt assessment with appropriate imaging and tissue sampling.
Option by option
A. Mild dysmenorrhoea in adolescence
Adolescent dysmenorrhoea is common.
B. Transient ovulation pain
Ovulatory pain can be physiological.
C. Postmenopausal vaginal bleeding (correct)
Correct: bleeding after menopause is a key cancer warning sign.
D. Cyclical breast tenderness
Breast tenderness is often hormonal and benign.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.