3 Months Of Fresh in Obstetrics & Gynecology — 38yo Woman | General Gynecology | SMLE Q#12027
SMLE Question #12027
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 38-year-old woman presents to an outpatient gynecology clinic with 3 months of fresh vaginal bleeding after intercourse. Her menses are regular, and she has no pelvic pain. She reports prior routine screening with no abnormal cervical cytology and no cervical procedures. Speculum examination shows a grossly normal cervix without visible lesions; the vagina and external genitalia are unremarkable. A cervical cytology report from last week describes malignant squamous cells suspicious for invasive disease. No colposcopy or biopsy has been done yet. What is the most appropriate next immediate action?
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