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
A 50 year old normal looking lady, Sita has Ca cervix of stage between II - III. What is the MOST appropriate next step in management? 
Select and explain. 
A. Surgery and radiotherapy, B. Radiotherapy and chemotherapy, C. Radiotherapy alone, D. Chemotherapy
B: Radiotherapy and chemotherapy
Answer: B: Radiotherapy and chemotherapy 
Explanation: Best method of management of cervical cancer stage IIb and above (advanced stage) includes use of external radiation, brachytherapy implants and concurrent chemosensitization. Cisplatin based chemotherapy along with radiotherapy is the best treatment of choice in advanced stage cervical cancer. FIGO Stage IA-1: Is managed conservatively with cone biopsy for preservation of feility or with simple hysterectomy when feility is not preferred. Stage IA 2, IB, IIA: Preferred treatment of choice is radical hysterectomy with bilateral pelvic lymph node dissection.