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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 45 year old lady complains contact bleeding. She has positive pap smear. The next line of management is -
assistant
The correct answer is  Ans. is 'a' Colposcopy directed biopsy (Ref. Shaws, 7 3/e, p 384 (12/e, p289)).Pap smear is a screening procedure for carcinoma cervix.Positive pap smear means that cytology as abnormal. Now it needs to be confirmed by biopsy. Colposcopy will help in accurate localization of the abnormal tissue and helps in reducing false negative findings.Indications of colposcopy :Abnormal cytologyFor diagnosis of suspicious invasive lesion.Diagnostic directed biopsy.Conservative therapy under colposcopic guidance.Follow-up of cases treated conservatively.