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OBG · Gynecologic oncology: cervical cancer
Sample itemWhich symptom should prompt assessment for possible cervical cancer even in a patient with previous screening?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Persistent postcoital bleeding
Cervical screening is not a diagnostic test for symptoms. Persistent postcoital bleeding, unexplained abnormal bleeding, or suspicious cervical appearance requires clinical assessment.
Option by option
A. Mild menstrual cramps only
Mild cramps alone are common and nonspecific.
B. Transient itch after shaving
Transient shaving irritation is a superficial skin issue.
C. Bilateral ankle swelling after travel
Travel-related ankle swelling suggests a different differential.
D. Persistent postcoital bleeding (correct)
Correct. Postcoital bleeding is a recognized cervical-cancer symptom requiring evaluation.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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