Gynaecological oncology: cervical intraepithelial neoplasia: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Gynaecological oncology: cervical intraepithelial neoplasia

Sample item

A woman has CIN 3 confined to the ectocervix on colposcopic biopsy, with the entire lesion visible. What is the appropriate treatment?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Excision by LEEP or cold knife conisation

High-grade CIN is treated by excision (LEEP, cold knife conisation) or ablation when the lesion is entirely visible and no invasive disease is suspected. Hysterectomy is not needed for CIN. Follow-up is by cytology or HPV test at 6 to 12 months.

Option by option

  • A. Radical hysterectomy

    Radical hysterectomy is for invasive cancer.

  • B. Excision by LEEP or cold knife conisation (correct)

    Correct. Excision gives treatment and histological assessment.

  • C. Observation for one year

    CIN 3 requires treatment, not observation.

  • D. Chemoradiation

    Chemoradiation is for advanced cancer.

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.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is B, Excision by LEEP or cold knife conisation. High-grade CIN is treated by excision (LEEP, cold knife conisation) or ablation when the lesion is entirely visible and no invasive disease is suspected.

Why is "Radical hysterectomy" not the answer?

Radical hysterectomy is for invasive cancer.

Why is "Observation for one year" not the answer?

CIN 3 requires treatment, not observation.

Why is "Chemoradiation" not the answer?

Chemoradiation is for advanced cancer.

What concept does this question test?

It tests Gynaecological oncology: cervical intraepithelial neoplasia in OBG. Hysterectomy is not needed for CIN. Follow-up is by cytology or HPV test at 6 to 12 months.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Gynaecological oncology: cervical intraepithelial neoplasia?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.