女性，50岁，月经欠规律半年，现停经3个 月后阴道流血2天，无腹痛，晕厥1小时来 诊。査体：BP 90/50mmHg，神志清，贫血 貌，宫颈光滑，子宫略大，腹部无压痛。首 选的措施和检查是(       )

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