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MRCOG PART 2 SBAs and EMQs

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To DR PAUL regarding colposcopy

To DR PAUL regarding colposcopy Posted by J P.
CAN you please explain my doubt on colposcopy
NHS COLPOSCPY GUIDE
Women referred with moderate or severe dyskaryosis (high grade) on
their test result are at significant risk of CIN 2 or 3, even in the presence
of normal colposcopy. Biopsy should be undertaken in > 95% of
women with high grade abnormalities (see section 6.3). If treatment is not
undertaken, close surveillance with colposcopy and cytology every six
months is advised. If at follow-up a high grade cytological abnormality
persists, excisional treatment is recommended (90%).
Posted by J P.
Can u please check my answers for the mcq.
25 year old parous lady whose cervical smear showed moderate and then severe dyskaryocytosis but colposcopy is normal.The following are appropriate

1.Knife conisation -T
2.repeat smear in 3 months -F
3.laser vaporisation ?
The NHS colposcopy guide and cervical screening says that persistent high grade smear even if colposcopy is normal needs treatment. CAN you please explain my doubt on colposcopy
NHS COLPOSCPY GUIDE
Women referred with moderate or severe dyskaryosis (high grade) on their test result are at significant risk of CIN 2 or 3, even in the presence of normal colposcopy. Biopsy should be undertaken in > 95% of women with high grade abnormalities (see section 6.3). If treatment is not
undertaken, close surveillance with colposcopy and cytology every six months is advised. If at follow-up a high grade cytological abnormality
persists, excisional treatment is recommended (90%).
Posted by zakaria M.
Its not treatment its biopsy should be taken even if colposcopy is normal and treatment recommended for persistent abnormality so repeat smear should be correct???