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Kaplan Qbank USMLE



Author6 Posts
  #1

a 49 year old lady comes to the physician complaining of bloody malodorous discharge, following intercourse. her last pap smear was 12 years ago what is the diagnosis???

acondyloma accunimatum

b. high grade intraepithelial neoplasm

c. carcinoma in situ

d. microinvasive squamous cell carcinoma

e. invasive cervical squamous cell carcinoma

e.


  #2

e. invasive cancer

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  #3

why?

  #4

because to have a bleed there should be invasion of blood capillaries that is ivasive cancer. foul smell due to sec infection. also see without infect

___________________
If you think you can You can! If you think you cant you are right again!!

  #5

good, keep it up

  #6

its E.Postcoital bleeding in a lady should always raise concern for an invasive cervical carcinoma..(I read it in a question somewhere else too..with a little bit chnage in the scenario)







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