This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': '. Pap smear of Lelawati 45 years female shows CIN grade III. Which of the following is the next step in management: \nSelect and explain. \nA. Punch biopsy, B. Large loop excision, C. Colposcopy directed biopsy, D. Cone biopsy', 'role': 'user'}, {'content': 'Answer: C \nExplanation: • Pap smear is only a screening test. To confirm we need to do a biopsy.\n• In all visible lesions punch biopsy should be done\n• In case of invisible lesion colposcopic directed biopsy is the gold standard. Thus in this case since it is not mentioned growth is visible so we do colposcopy guided biopsy.', 'role': 'assistant'}]