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Gynaecology & Obstetrics General b30ad143

Investigation of choice in postcoital bleeding in a 60-year-old lady is:

A
Pap smear
B
Colposcopy and biopsy
C
Pelvic ultrasound
D
Cone excision of cervix
High-Yield Explanation
An old lady presenting to OPD with post coital bleeding with a leison visible on cervix- raises the suspium carcinoma cervix in this case because CIN is asyntomatic . In such cases pap smear is of no use and directly biopsy should be done. Since lesion is visible we will go for punch biopsy. Investigation Protocol for Diagnosis of Carcinoma Cervix:

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