Vulval cancer — DRCOG MCQ
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Correct answer: B — Vulval cancer
Vulval cancer is the best answer because the vignette is testing Vulval cancer and the recommended approach is consistent with NICE NG12. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Repeat symptoms review in three months; Primary dysmenorrhoea; Pre-eclampsia; Pelvic inflammatory disease would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.
Reference: NICE NG12