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
30 year old woman's PAP smear is given below. What is your next approach 
Select and explain. 
A. Continue routine screeing, B. Advice loop electro excisional procedure, C. Hysterectomy, D. Cryotherapy
B: Advice loop electro excisional procedure
Answer: B: Advice loop electro excisional procedure 
Explanation: The pap smear shows:
→ Dysplastic squamous cells
→ High N:C ratio
→ Irregular nuclear membrane
→ Coarse chromatin
All these suggest high-grade squamous intraepithelial lesion (HSIL)