An obese woman of 49 years of age, with a history of diabetes and hypertension, complains of heavy menstrual bleeding with delayed and irregular cycles. Which of the following is the most important cause that should be ruled out in this patient?
ACancer cervix
BEndometrial cancer
CFibroid uterus
DPolycystic ovaries
What is the investigation of choice in postmenopausal bleeding?
APAP smear
BLaparoscopy
CFractional curettage
DUltrasound
A 28-year-old woman, G2 P1, with severe PPH unresponsive to oxytocin presents with hypotension and tachycardia. She has a soft uterus and ongoing bleeding. What is the next best step in management?
AIM carboprost
BImmediate hysterectomy
CExpectant management
DIV tranexamic acid
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