Page 180 - Demo

Question 11%u2022 A 32-year-old woman presents with abnormal uterine bleeding. Which of the following investigations is most appropriate as a first-line test?%u2022 Endometrial biopsy%u2022 Hysteroscopy%u2022 Full blood count%u2022 CA-125 blood test%u2022 Pelvic MRI%u2022 Answer: Full blood count%u2022 Explanation: In a case of abnormal uterine bleeding, a full blood count is the most appropriate first-line investigation. It helps assess for anemia, which is a common complication of heavy menstrual bleeding. It also provides information about platelet count, which can be relevant if a bleeding disorder is suspected. While other tests like endometrial biopsy or hysteroscopy may be necessary, they are typically not the first step. A full blood count is non-invasive, readily available, and provides valuable initial information to guide further management.