Module 14: Women Health Problems (Assessment)
Mariah, a 46-year-old housewife with postcoital bleeding presents for Pap smear screening. Her last smear five years ago was normal. On examination, her cervix is bulky with a 1.5-cm raised inflammed lesion on the posterior lip which bleeds on contact. What is your next step of management?
A. Refer immediately to gynaecologist for colposcopy
B. Prescribe antibiotics and asked her to return for Pap test one month later
C. Make an appointment with gynaecologist for hysteroscopy
D. Take her Pap smear using a cytobrush to avoid the bleeding lesion
E. Take her Pap smear using a spatula carefully avoiding the bleeding lesion
Mariah, a 46-year-old housewife with postcoital bleeding presents for Pap smear screening. Her last smear five years ago was normal. On examination, her cervix is bulky with a 1.5-cm raised inflammed lesion on the posterior lip which bleeds on contact. What is your next step of management?
A. Refer immediately to gynaecologist for colposcopy
B. Prescribe antibiotics and asked her to return for Pap test one month later
C. Make an appointment with gynaecologist for hysteroscopy
D. Take her Pap smear using a cytobrush to avoid the bleeding lesion
E. Take her Pap smear using a spatula carefully avoiding the bleeding lesion