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Cervical polyp — DRCOG MCQ

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HardGynaecologyCervical polypDRCOG

A 44-year-old woman has postcoital bleeding. She is up to date with cervical screening and her last HPV test was negative. Speculum examination shows a friable cervical polyp, but the cervix is otherwise normal. What is the most appropriate management?

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Correct answer: E — Refer or arrange removal of the cervical polyp and histology

A symptomatic cervical polyp should be removed or referred for removal with histological assessment. A recent negative screening test reduces risk but does not replace assessment of a visible symptomatic lesion. The pearl is that cervical screening is not a diagnostic test for symptomatic bleeding.

Reference: NICE CKS Cervical polyps; NHS Cervical Screening Programme