2 Weeks Of Light in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#17127

SMLE Question #17127

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 68-year-old postmenopausal woman presents with 2 weeks of light vaginal bleeding triggered by intercourse. Menopause occurred at 52 and she is not using hormone therapy. Speculum examination shows a small amount of bright red blood in the vault; the cervix is closed and appears normal with no visible lesions. Bimanual examination shows no adnexal masses or tenderness. What is the most appropriate initial diagnostic test?

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