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': "Rekha a 45-years-old woman has negative pap smear with +ve endocervical curretage. Next step in management will be: \nSelect and explain. \nA. Colposcopy, B. Vaginal hysterectomy, C. Conisation, D. Wertheim's hysterectomy", 'role': 'user'}, {'content': 'Answer: C \nExplanation: In the question, Rekha has negative pap smear along with positive endocervical curettage - it could mean endometrial cancer which has extended to cervix or adeno carcinoma of endocervix. To distinguish between the two - conization should be done. Colposcopy is of no use as it cannot usualize upper part of endocervix.', 'role': 'assistant'}]