This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: FMGE 2019, Subject name: Gynaecology & Obstetrics
A 67 years old female with HTN and diabetes comes with heavy bleeding per vaginal. What is the next management? 
Select and explain. 
A. Uterine ablation, B. Uterine aery block, C. Hysterectomy, D. Laser
C: Hysterectomy
Answer: C: Hysterectomy 
Explanation: Above history points towards the hint that she might be having endometrial cancer Points in or of endometrial cancer: HTN and Diabetes: Risk factors for Ca Endometrium Post-menopausal bleeding: one of C/F of Ca Endometrium Thus, Hysterectomy is next management step in above case.