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Abnormal cervical screening — DRCOG MCQ

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HardGynaecological OncologyAbnormal cervical screeningDRCOG

Cervical screening shows high-risk HPV with low-grade dyskaryosis. A 42-year-old asks to repeat the sample with her GP in 6 months because she is anxious about colposcopy. What is the best response?

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Correct answer: B — Explain colposcopy and support attendance through the screening pathway

The best answer is “Explain colposcopy and support attendance through the screening pathway”. HPV-positive low-grade dyskaryosis is referred to colposcopy under the screening pathway. Many HPV infections clear, but cytological abnormality means repeat routine testing is not an equivalent substitute. The clinician should explain what colposcopy assesses, explore pregnancy, trauma or access concerns and support attendance rather than coercing or silently deferring.

Reference: NHS Cervical Screening Programme: good practice guidance for sample takers: https://www.gov.uk/government/publications/nhs-cervical-screening-programme-good-practice-guidance-for-sample-takers/nhs-cervical-screening-programme-good-practice-guidance-for-sample-takers