#april2020mccqe1
A 20-year-old woman books in at the antenatal clinic at 13 weeks of gestation. She had a Papanicolaou (Pap) smear done one week previously which showed grade three cervical intraepithelial neoplasia (CIN3). Which one of the following is the most appropriate next step in management?
(A) Termination of the pregnancy
(B) Colposcopy
(C) Colposcopy and cone biopsy
(D) Colposcopy and large loop excision of the transformation zone (LLETZ biopsy)
(E) Repeat the Pap smear at 34 weeks of gestation
A 20-year-old woman books in at the antenatal clinic at 13 weeks of gestation. She had a Papanicolaou (Pap) smear done one week previously which showed grade three cervical intraepithelial neoplasia (CIN3). Which one of the following is the most appropriate next step in management?
(A) Termination of the pregnancy
(B) Colposcopy
(C) Colposcopy and cone biopsy
(D) Colposcopy and large loop excision of the transformation zone (LLETZ biopsy)
(E) Repeat the Pap smear at 34 weeks of gestation
