skip to main content

Cervical ectropion — DRCOG MCQ

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

HardGynaecologyCervical ectropionDRCOG

A 27-year-old has light postcoital spotting. Speculum examination shows a symmetrical erythematous area around the external os that bleeds lightly on contact, with no ulceration, mass or abnormal discharge. Cervical screening is up to date. Which finding best fits this pattern?

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

Reveal the answer and explanation

Correct answer: C — Cervical ectropion

The best answer is “Cervical ectropion”. The symmetrical red, contact-bleeding columnar epithelium around the external os is characteristic of cervical ectropion. Screening status does not replace examination, and persistent or suspicious symptoms still need appropriate assessment. A mass, ulceration, irregularity or unexplained persistent bleeding would lower the threshold for urgent referral.

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