This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Anatomy
Diagnostic procedure for postmenopausal bleeding 
Select and explain. 
A. Endometrial aspiration, B. Hysteroscopic guided biopsy, C. Dilatation and curettage, D. Ultrasound
B: Hysteroscopic guided biopsy
Answer: B: Hysteroscopic guided biopsy 
Explanation: Gold standard is hysteroscopic directed endometrial sampling. Next, best is endometrial aspiration as it gives a global endometrial sample by viue of suction. D and C and EB should never be done to diagnose the cause of postmenopausal bleeding. The most common cause overall is senile endometritis and the most common malignant cause is endometrial cancer