Question

A 50-year-old G4P4 presents for her health maintenance examination. She states her menses are of normal flow every 32 days, with minimal cramping and five-day duration. Review of systems is negative. She has no medical problems. She had a bilateral tubal ligation following her last child, and a laparoscopic cholecystectomy five years ago. She has a history of LSIL Pap smear with colposcopy and cryotherapy 15 years ago; her Paps have been normal since then. She does not smoke, drink alcohol or use any drugs. She is sexually active with one partner with no problems. Her general exam, including a breast exam and pelvic exam, is normal. In addition to performing a Pap smear, which of the following is the most appropriate screening test for this patient?

A. Pelvic ultrasound
B. Endometrial biopsy
C. Mammogram
D. DEXA scan
E. Colposcopy

Answer 1

The most appropriate screening test for this patient is mammogram.

Step-by-step explanation:

The most appropriate screening test for this patient, in addition to performing a Pap smear, is mammogram. A mammogram is a screening test used to detect breast cancer in women. Given the patient's age, it is important to screen for breast cancer as part of her health maintenance examination. It is recommended that women undergo regular mammograms starting at the age of 40 or earlier if they have risk factors.