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Subject: Tommy's Concepts

Subject: Tommy's Concepts
Tommy's Concepts for the USMLE Step 1


A 62-year-old woman has bleeding from the vagina. She states that her last menstrual period came 11 years ago and that she has had no bleeding since that time. She has hypertension and type 2 diabetes mellitus. Examination shows a mildly obese woman. Pelvic examination is normal. An endometrial biopsy is performed that shows grade I endometrial adenocarcinoma. What do you do? Pick either cone biopsy OR hysterectomy.