Q:

A 32 year old woman comes with intermenstrual bleeding. Her last cervical smear was 1y ago and was negative. What test would you recommend for her initially?

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A 32 year old woman comes with intermenstrual bleeding. Her last cervical smear was 1y ago and was negative. What test would you recommend for her initially?


  1. Colposcopy
  2. Cervical smear
  3. Endocervical swab
  4. Transvaginal US
  5. Pelvic CT

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The key is C. Endocervical swab. [Smear can only be done if it is due or overdue, not in any time or not as needed basis. Here patients next smear will be due after 2 more years. In reproductive years cervisitis due to infection particularly with chlamydia is very common. So initially we shall take endocervical swab to rule out infection].

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