Benign gynaecology: cervical cytology: 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 · Benign gynaecology: cervical cytology

Sample item

A Pap smear reports ASC-US. What is the recommended next step in a woman aged 30 or more?

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

The answer and the reasoning

D. Reflex HPV testing

In ASC-US, reflex testing for high-risk HPV is preferred. A positive result is followed by colposcopy. A negative result allows return to routine screening. Bethesda classification reports cytology categories such as LSIL and HSIL.

Option by option

  • A. Immediate cone biopsy

    Cone biopsy is not the first step.

  • B. Repeat after 5 years

    Waiting 5 years is too long after an abnormal result.

  • C. Hysterectomy

    Hysterectomy is excessive.

  • D. Reflex HPV testing (correct)

    Correct. HPV triage guides further management.

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 D, Reflex HPV testing. In ASC-US, reflex testing for high-risk HPV is preferred.

Why is "Immediate cone biopsy" not the answer?

Cone biopsy is not the first step.

Why is "Repeat after 5 years" not the answer?

Waiting 5 years is too long after an abnormal result.

Why is "Hysterectomy" not the answer?

Hysterectomy is excessive.

What concept does this question test?

It tests Benign gynaecology: cervical cytology in OBG. A positive result is followed by colposcopy. A negative result allows return to routine screening. Bethesda classification reports cytology categories such as LSIL and HSIL.

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 Benign gynaecology: cervical cytology?

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.