Q:

A 25 year old woman presented to her GP on a routine checkup. Upon vaginal examination, she was fine except for finding of cervical ectropion which was painless but mild contact bleeding on touch. What is the next management?

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A 25 year old woman presented to her GP on a routine checkup. Upon vaginal

examination, she was fine except for finding of cervical ectropion which was

painless but mild contact bleeding on touch. What is the next management?


  1. Endometrial ablation
  2. Cervical smear (2nd line)
  3. Colposcopy
  4. Antibiotics (1st line)
  5. Vaginal US
  6. Pack with gauze and leave to dry

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The key is D. Antibiotics. This is a wrong key. The correct key is B. Cervical smear. In UK 25 year is

the age when 1st smear is offered. Cervical smear is a screaning service which follows its own schedule

and cannot be done unless it is due or overdue. As the Lady is of 25 years and has ectropion and contact

bleeding smear is the best option here as in UK 1st smear is offered at 25 yrs].

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