When obtaining the health history of a 60-year-old female, it is important to ask:
A. The age of menopause
B. About any bleeding since menopause
C. Use of any hormone replacement treatment
D. All of the above
ANS: D
Bleeding that occurs after menopause has been established is cause for concern. It may indicate endometrial cancer, and referral for endometrial biopsy or dilation and curettage (D&C) is warranted. If the patient is menopausal, ask about age of menopause, symptoms of menopause, and past or current use of hormone replacement therapy (HRT).
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