Gynecology: abnormal uterine bleeding: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Gynecology: abnormal uterine bleeding

Sample item

A 54-year-old has postmenopausal bleeding. Which investigation is essential to exclude endometrial malignancy?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Endometrial assessment with appropriate imaging and/or biopsy

Postmenopausal bleeding requires prompt evaluation of the endometrium because it can be a presenting feature of endometrial cancer. The pathway may include transvaginal ultrasound and endometrial sampling according to findings and local guidance.

Option by option

  • A. Endometrial assessment with appropriate imaging and/or biopsy (correct)

    Correct. Endometrial evaluation is required in postmenopausal bleeding.

  • B. Urine dipstick only

    Urine testing does not exclude a uterine source of bleeding.

  • C. Serum amylase

    Amylase evaluates pancreatic disease.

  • D. Routine cervical smear alone

    Cervical screening does not adequately assess the endometrium.

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.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, Endometrial assessment with appropriate imaging and/or biopsy. Postmenopausal bleeding requires prompt evaluation of the endometrium because it can be a presenting feature of endometrial cancer.

Why is "Urine dipstick only" not the answer?

Urine testing does not exclude a uterine source of bleeding.

Why is "Serum amylase" not the answer?

Amylase evaluates pancreatic disease.

Why is "Routine cervical smear alone" not the answer?

Cervical screening does not adequately assess the endometrium.

What concept does this question test?

It tests Gynecology: abnormal uterine bleeding in OBG. The pathway may include transvaginal ultrasound and endometrial sampling according to findings and local guidance.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Gynecology: abnormal uterine bleeding?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.