Cervical cancer — DRCOG MCQ

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EasyGynaecological OncologyCervical cancerDRCOG

A 64-year-old woman has postcoital bleeding, offensive discharge and an abnormal friable cervix. What is the most likely diagnosis?

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Correct answer: A — Cervical cancer

Cervical cancer is the best answer because the vignette is testing Cervical 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, Placenta praevia; Vulvovaginal candidiasis; Physiological neonatal jaundice; Pre-eclampsia 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