ABSTRACT
This chapter, written for undergraduate medical students and post-graduate doctors in training, presents information on how to manage the patient who is requesting for an unnecessary cervical smear test — a case which they are likely to encounter in the future in a general practice setting. It presents the case of a 33-years old woman who is requesting the general practitioner (GP) to take smear test for her. The chapter provides details of the patients' medical history and the key findings of clinical examination, together with initial investigation results data for evaluation, and helps them develop their skills of clinical reasoning. Having taken a history, the GP informs her that her risk of developing cervical cancer is very low and that she is next due for her smear in 2-years time. Key questions then prompt the student to evaluate the patient, and reach a decision regarding their condition and the possible treatment plan.
