11.    

a)        Look at the photograph and state three differential diagnoses.

           1.    Cervical carcinoma.

            2.    Cervical polyp.

            3.    Endometrial polyp.

b)         What three symptoms may she have presented with? 

            1.    Postcoital bleeding.

             2.    Intermenstrual bleeding.  

             3.    Menorrhagia.

c)         Name three appropriate investigations. 

            1.    Cervical smear.

             2.    Endometrial biopsy.

             3.    Hysteroscopy.

             4.    Biopsy of lesion.

d)         What corrective procedure should she have?

            1.    Removal of polyp.

             2.    Excision biopsy of lesion.