Q:

A 35 year old woman who usually has 4 days mid-cycle bleeding, had her period 10 days ago. She has now presented with spots of blood. Her smear was normal 6 months ago. Examination: cervical ectropion which doesn’t bleed on touch. What would you do?

waelhammad
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2022-11-03
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A 35 year old woman who usually has 4 days mid-cycle bleeding, had her period 10 days ago. She has now presented with spots of blood. Her smear was normal 6 months ago. Examination: cervical ectropion which doesn’t bleed on touch. What would you do?

  1. Cervical smear
  2. Endocervical swab
  3. US guided biopsy
  4. Laparotomy
  5. Transvaginal US
  6. Punch biopsy
  7. Serum estradiol
  8. Colposcopy
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waelhammad
2022-11-03
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The key is B. Endocervical swab. [Infection is a recognized cause of intermenstrual bleeding and it should be ruled out doing endocervical swab first].

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