Mrs.Smith,a 65-year-old woman presents to clinic for the first time and complains of urinary incontinence and dyspareunia.She went through menopause 10 years ago without any hormone replacement therapy and had a hysterectomy for a fibroid.Her mother had a hip fracture at 82 years of age.The patient's most recent mammogram was 5 years ago and no known family history of breast cancer.She is not taking any medications.Her physical examination is unremarkable except for findings consistent with atrophic vaginitis.You decide to begin topical hormone replacement therapy.Which of the following evaluations would be necessary prior to initiating hormone replacement therapy?

Question

Quizplus · Accepted Answer

A mammogram is necessary prior to initiating hormone replacement therapy to screen for breast cancer, especially since her last mammogram was 5 years ago.

MrsSmith,a 65-Year-Old Woman Presents to Clinic for the First Time