Q:

A 48yo nulliparous woman feels tired all the time. Her periods are regular but have always lasted for at least 10d. Choose the single most appropriate intial inv?

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A 48yo nulliparous woman feels tired all the time. Her periods are regular but have always lasted for at least 10d. Choose the single most appropriate intial inv?


  1. High vaginal swab
  2. Serum hemoglobin concentration
  3. TFT
  4. None
  5. Abdominal US

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The key is B. Serum hemoglobin concentration. [Feeling tired all the time and prolonged period suggest anemia. So serum Hb should be done initially]. 

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