Vulval lesion biopsy — DRCOG MCQ

Instant feedback + full explanation. One question, done properly.

ModerateGynaecological OncologyVulval lesion biopsyDRCOG

A 67-year-old woman has a persistent pigmented vulval lesion that bleeds on contact. What is the most appropriate investigation?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Urgent specialist assessment for biopsy

Urgent specialist assessment for biopsy is the best answer because the vignette is testing Vulval lesion biopsy and the recommended approach is consistent with NICE NG12. The other tests may be useful in different pathways, but they would not be the most direct first investigation for this presentation. Specifically, Arrange routine pelvic physiotherapy; 75 g oral glucose tolerance test; Treat empirically for candidiasis; Liver function tests and bile acids would be suboptimal in this scenario. The first investigation should answer the immediate clinical question and follow the relevant UK pathway.

Reference: NICE NG12