This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Carcinoma Cervix, Subject name: Gynaecology & Obstetrics
A 45-years-old lady complains of contact bleeding. She has positive pap smear. The next line of management is: 
Select and explain. 
A. Colposcopy directed biopsy, B. Cone biopsy, C. Repeat pap smear, D. Hysterectomy
A: Colposcopy directed biopsy
Answer: A: Colposcopy directed biopsy 
Explanation: Ans. is a, i.e. Colposcopy directed biopsyThere are 2 situations in questionWherever a female comes with post coital bleeding(This is a specific complain for Ca cervix)|Do a per speculum examination|||Growth is visibleNothing visible||Punch biopsyColposcopy(ii) When a female comes to you with abnormal pap smear.In LSIL: Endocervical curettage is optionalIn HSIL = Endocervical curettage is mandatory.