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CIN3 — USMLE Step 3 MCQ

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ModerateOB/GYN (prenatal care, contraception, screening)CIN3USMLE Step 3

A 33-year-old woman has a Pap test showing HSIL. She is not pregnant. Colposcopy shows a visible lesion, and biopsy confirms CIN3. Which of the following is the most appropriate at this time?

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Correct answer: C — Excisional treatment of the transformation zone

CIN3 is a high-grade precancerous lesion and is treated with excisional therapy in most nonpregnant adults.

Reference: ASCCP cervical cancer screening management guideline