A 60-year-old woman who is 11 years menopausal has presented to the emergency department stating, "I haven't had my period in years, but lately I've been bleeding again, and quite heavily in the last few days." The care team needs to rule out endometrial cancer. How should they best explain the most accurate plan for confirming or ruling out the diagnosis?
A) "We're going to book a CT scan for you as soon as possible so that we can see what is inside your uterus."
B) "We're going to have to open your cervix with a speculum and take scrapings from the wall of your uterus."
C) "We are going to order blood work that will measure your hormone levels."
D) "We can do a Pap smear right now, and we will get the results as soon as we can."
Ans: B
Feedback:
D&C is a more accurate diagnostic procedure for endometrial cancer than CT, Pap smear, or blood work analysis.
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