NBME 7 ob q need help with

[au3s]

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A 27 year old nulligravid woman comes for a routine health maintenance examination. She is sexually active with one lifelong partner. She does not smoke. She has no history of stds. Pap smear now shows a high grade sq intraepithelial neoplasia. Prior pap smears have shown no abnormalities. Examination of the cervix and vagina shows no gross abnormalities. which of the following is the most appropriate next step in management?
A. repeat pap smear
B. HPV testing.
C. Colposcopy.
D. Cone biopsy of the cervix.
E. Random cervical biopsies.

Could someone please help with this q (preferably someone who actually got it right, PLZ). And explain the reason thx. Also i chose choice C colposcopy, and it's incorrect.I know uw q 4758 says it's colposcopy but it's wrong that why I don't know how to reason it out.

thanks in advance

 

[CaliAtenza]

A 27 year old nulligravid woman comes for a routine health maintenance examination. She is sexually active with one lifelong partner. She does not smoke. She has no history of stds. Pap smear now shows a high grade sq intraepithelial neoplasia. Prior pap smears have shown no abnormalities. Examination of the cervix and vagina shows no gross abnormalities. which of the following is the most appropriate next step in management?
A. repeat pap smear
B. HPV testing.
C. Colposcopy.
D. Cone biopsy of the cervix.
E. Random cervical biopsies.

Could someone please help with this q (preferably someone who actually got it right, PLZ). And explain the reason thx. Also i chose choice C colposcopy, and it's incorrect.I know uw q 4758 says it's colposcopy but it's wrong that why I don't know how to reason it out.

thanks in advance

I just took NBME 7 a couple of days ago, and I chose Colposcopy as well. Didn't come up in my wrong list. Are you sure you got it wrong?

 

[au3s]

Are u sure it's colposcopy just want to make sure thx

 

[CaliAtenza]

Are u sure it's colposcopy just want to make sure thx

Yup I'm sure, its not in my incorrect list. Now if it was ASC-US, then you would do HPV testing. But reading that Uworld question you referenced, there is a line where it says that if women 25 and older have an HGSIL, they can CHOOSE to procede to LEEP instead of having a colposcopy (I'm thinking in the exam they might word as what could the alternate method be or something like that). LEEP wasn't given as an option here. It has to be colposcopy. Go back and check your answers 🙂.

 

[au3s]

Thx I'll check and let u know

 

[blaqmamba]

definitely colpo