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A 65-year-old female presents with vaginal spotting that has been occurring for the last 3

A 65-year-old female presents with vaginal spotting that has been occurring for the last 3 months. She is up-to-date on her colonoscopy, mammogram, pap smear, and bone density screening. She takes a daily aspirin to prevent ischemic stroke and is up-to-date on her vaccinations. She is inquiring about uterine cancer screening and is concerned about her vaginal bleeding. Which of the following is true regarding this patient? A. Transvaginal ultrasonography can be used for screening for endometrial cancer. B. This patient should undergo an endometrial biopsy. C. This patient should be placed on vaginal estrogen cream. D. The patient should undergo dilatation and curettage.

 
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