Reproductive Quiz #22, Abnormal Uterine Bleeding  

1. A 52-year-old woman presents to the clinic complaining of heavy menstrual bleeding for the past 6 months. She reports that her menstrual cycles have been irregular, varying from 21 to 35 days. Her past medical history is significant for obesity and type 2 diabetes mellitus. Which of the following is the most likely cause of her abnormal uterine bleeding (AUB)? 

Question 1 of 5

2. A 30-year-old woman presents with a 3-month history of irregular, prolonged menstrual bleeding. She denies any significant past medical history but mentions she has been trying to conceive for the past year without success. Physical examination reveals hirsutism and an elevated BMI. Which of the following is the most appropriate initial diagnostic test? 

Question 2 of 5

3. A 45-year-old woman presents to the clinic with heavy and prolonged menstrual bleeding for the past 9 months. She also reports frequent pelvic pain. Ultrasound reveals multiple intramural masses within the uterus. Which of the following is the most likely diagnosis? 

Question 3 of 5

4. A 22-year-old woman presents with a history of menstrual cycles that vary from 45 to 60 days and episodes of heavy bleeding lasting up to 10 days. She is sexually active and not on any form of contraception. Her BMI is within the normal range, and her physical examination is unremarkable. Which of the following mechanisms is most likely contributing to her abnormal uterine bleeding? 

Question 4 of 5

5. A 27-year-old woman presents with a 6-month history of irregular, heavy menstrual bleeding and intermenstrual spotting. She has no significant past medical history and takes no medications. Physical examination is normal. Laboratory tests reveal a normal thyroid-stimulating hormone (TSH) level and a hemoglobin of 10.2 g/dL. Which of the following is the most appropriate next step in the management of this patient? 

Question 5 of 5


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