Which field performs Pap smears, IUD insertions, endometrial biopsies, and colposcopies?

• A. General Surgery
• B. OB/GYN
• C. Internal Medicine
• D. Pediatrics

Answer: (B)

These procedures are all part of gynecologic care, focusing on the female reproductive system. A Pap smear screens for cervical abnormalities and cancer, and it’s routinely done in obstetrics and gynecology settings. Intrauterine device insertion is a contraception procedure that requires expertise in uterine anatomy and sterile technique, which is centered in OB/GYN. An endometrial biopsy samples the uterine lining to investigate abnormal bleeding or other symptoms, a common gynecologic diagnostic step. A colposcopy uses a special instrument to closely examine the cervix, vagina, and sometimes the vulva, typically after an abnormal Pap result or during cervical cancer screening workups, again within OB/GYN practice.

General surgery, internal medicine, and pediatrics don’t routinely perform these gynecologic procedures, as their focus areas are different.