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
. Earliest symptom of carcinoma cervix is: 
Select and explain. 
A. Irregular vaginal bleeding, B. Post coital bleed, C. Foul smelling discharge, D. Pain
A: Irregular vaginal bleeding
Answer: A: Irregular vaginal bleeding 
Explanation: Thus earliest symptom is irregular vaginal bleeding which usually follows coitus. So I am taking option ‘a’, i.e. irregular vaginal bleeding as the correct answer.
Also Know: 
• CIN is most commonly detected in women in their 20’s.
• Peak incidence of carcinoma in situ: 25 - 35 years
• Ca cervix has bimodal peak - first at 35-39 years and second at 60-64 years.