A 42-year-old has postcoital bleeding and a friable cervix. What is the most likely diagnosis?

Answer and explanation

Correct answer: A. Cervical carcinoma

  1. Step 1: The picture of postcoital bleeding with a friable cervix fits Cervical carcinoma.
Answer
Cervical carcinoma.
Why not the others: 'Cervical ectropion': it gives benign postcoital spotting with a normal biopsy. 'Cervical polyp': it is a benign growth that bleeds on touch. 'Endometrial carcinoma': it gives postmenopausal bleeding from the uterine cavity.

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