Weird OBGYN Question... - doc2530

[ArchivalUser]

A 67-year-old woman comes for a routine health maintenance examination. She exercises regularly. She is not sexually active. At her last visit 1 year ago, her serum cholesterol level was 180 mg/dL, and fasting serum glucose level was 80 mg/dL; a Pap smear and mammography showed normal findings. Two years ago, flexible sigmoidoscopy showed no abnormalities. Today, she weighs 63 kg (140 lb) and is 165 cm (65 in) tall. Her blood pressure is 120/80 mm Hg. Examination shows no abnormalities. Which of the following is the most appropriate screening test for this patient?

A-Pap smear
B-Measurement of serum cholesterol level
C-Measurement of serum glucose level
D-Mammography
E-Flexible sigmoidoscopy

None of the answers seem appropriate. IF I had to pick one I'd prob go with Mammogram. Any thoughts?

[ArchivalUser]

Mammogram supposed to be done every 2 years for women age 50-75. But nothing else fits too.

[ArchivalUser]

it is mammogram. There are different recommendations guys depending on organization , but for exam it is every year for all women till 75 years old

[ArchivalUser]

Mammogram cant be every year. What about colonoscopy (flexible sigmoidoscopy)?

[ArchivalUser]

Flexible sigmoidoscopy is invasive.

[ArchivalUser]

why not glucose level ?!!!

[ArchivalUser]

With her blood glucose at 80 a year ago. Normal blood pressure and normal BMI, doing another glucose level is low on the totem pole.