11-25-2007, 05:51 AM
A healthy 60-year-old woman comes to the physician for a routine
examination. She has no history of illness over the past year and has
never had an operation. She takes no medications. Menopause occurred 6
years ago. She weighs 57 kg (125 lb) and is 160 cm (63 in) tall.
Pelvic examination shows atrophic external genitalia and a small,
midpositioned uterus. The left ovary is 3 x 3 cm, the right ovary is
not palpable. Which of the following is the most appropriate next step
in management?
O A) Reexamination in 1 month
O B) Reexamination in 1 year
O C) Obtain patient's medical records
O D) Measurement of serum progesterone level
O E) Pelvic ultrasonography
examination. She has no history of illness over the past year and has
never had an operation. She takes no medications. Menopause occurred 6
years ago. She weighs 57 kg (125 lb) and is 160 cm (63 in) tall.
Pelvic examination shows atrophic external genitalia and a small,
midpositioned uterus. The left ovary is 3 x 3 cm, the right ovary is
not palpable. Which of the following is the most appropriate next step
in management?
O A) Reexamination in 1 month
O B) Reexamination in 1 year
O C) Obtain patient's medical records
O D) Measurement of serum progesterone level
O E) Pelvic ultrasonography