A 35yo woman who usually has 4 days mid-cycle bleeding, had her period 10d ago. She has now presented with spots of blood. Her smear was normal 6m ago. Exam: cervical ectropion which doesn’t bleed on touch. What would you do?
a. Cervical smear
b. Endocervical swab
c. US guided biopsy
d. Laparotomy
e. Transvaginal US f. Punch biopsy
g. Serum estradiol
h. Colposcopy
Ans. The key is A. Cervical smear. Wrong key! Correct key is colposcopy! [Cervical smear can only be done on scheduled time and not in on need basis. In such case if investigation is needed colposcopy can be done, had her period 10d ago. She has now presented with spots of blood. Her smear was normal 6m ago. Exam: cervical ectropion which doesn’t bleed on touch.
What would you do?
a. Cervical smear
b. Endocervical swab
c. US guided biopsy
d. Laparotomy
e. Transvaginal US f. Punch biopsy
g. Serum estradiol
h. Colposcopy
Ans. The key is A. Cervical smear. Wrong key! Correct key is colposcopy! [Cervical smear can only be done on scheduled time and not in on need basis. In such case if investigation is needed colposcopy can be done