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HPV vaccination and screening — DRCOG MCQ

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HardGynaecological OncologyHPV vaccination and screeningDRCOG

A 43-year-old has postcoital bleeding for three months. Speculum examination shows an irregular friable cervical lesion. What is the best next step?

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Correct answer: C — Arrange an urgent suspected-cancer referral for cervical assessment

The best answer is “Arrange an urgent suspected-cancer referral for cervical assessment”. A suspicious cervical lesion requires urgent suspected-cancer referral. Cervical screening is designed for asymptomatic people and must not delay diagnostic assessment of symptoms or an abnormal cervix; infection testing can be considered without postponing referral.

Reference: NICE NG12: Suspected cancer recognition and referral: https://www.nice.org.uk/guidance/ng12/chapter/recommendations-organised-by-site-of-cancer