A. Repeat smear in six months
B. Repeat smear in 12 months
C. Colposcopy in the second trimester to exclude high-grade pathology
D. Wedge biopsy
E. Refer for urgent colposcopy
F. Repeat smear in three years
G. Repeat smear 3–4 months postnatally
H. Cone biopsy
I. Large loop excision of the transformation zone (LLETZ)
J. Refer for colposcopy
Match the most appropriate management plan to each scenario. Each option may be used once, more than once, or not at all.
1. A 40-year-old woman, para 1, is a renal dialysis patient. She has a routine smear and the result indicates evidence of mild dyskaryosis.