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': 'Young lady comes with mild erosion of cervix & pap smear shows dysplasia, next step is : \nSelect and explain. \nA. Antibiotics, B. Colposcopy, C. Cryosurgery, D. Conization', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Ans. is b i.e. Colposcopy A young lady is presenting with erosion which on cytology shows dysplasia. Now what will be the next step : Friends, here first of all it is impoant to know that erosion (ectopy) : is a condition in which the squamous covering of the vaginal aspect of the cervix is replaced by columnar epithelium lining the ondocervix It appears as a bright red area continuous with the endocervix and with a clearly defined outer edge. It often bleeds on touch and has to distinguished from carcinoma, tuberculosis, syphilitic and other ulcers of the cervix. "Although a cervical smear may be helpful. the distinction may not be possible except by colposcopy or biopsy". Jeffcoate 7/e, p 411 Here in the question : Pap smear has already been done and it shows dysplasia which should be confirmed by colposcopy. Extra Edge : Management of cervical erosion : If it is detected during pregnancy treatment should be deferred for atleast 12 weeks postpaum. Management : - Thermal cauterizations - Cryosurgerydeg - Laser vaporisationdeg Aim : To destroy columnar epithelium so that on healing it is replaced by squamous epithelium.', 'role': 'assistant'}]