48-year-old nulliparous woman comes to the office due to lheavy menstrual bleeding and irregular periods for the past 2 months.
The patient says that her last period started 2 months ago and seems like it never stopped. During this time, bleeding has ranged
from heavy to light with 2 or 3 bleeding-free days. A Pap test at age 25 showed cervical intraepithelial neoplasia grade 1, which was
treated. All subsequent Pap testing has been normal. Menarche was at age 15, and she was previously treated with
estrogen/progestin-containing oral contraceptives during most of her 20s and 30s for irregular menstrual cycles The patient has a
medical history of type 2 diabetes mellitus and often forgets to check her blood sugar levels. Her glipizide dose was increased last
year due to an elevated hemoglobin A 1 c. The patient’s mother had breast cancer. BMI is 39 kg/m2 Endometrial biopsy shows
endometrial adenocarcinoma. Fingerstick glucose level is 210 mg/dl and hemoglobin A1c is 8.2%. Which of the following aspects of
this patient’s history is the greatest risk factor for her biopsy result?
- QA Abnormal Pap test
- 0 B. Age at menarche
- 0 C. BMI
- 0 D. Family history of breast cancer
- 0 E. Glipizide therapy
- 0 F Oral contraceptive use
0 voters