In colposcopy following are visualised except:
**Core Concept**
Colposcopy is a diagnostic procedure used to visualize the cervix, vagina, and vulva for detecting abnormal cell growth and other abnormalities. It involves the use of a colposcope, a specialized lighted microscope that allows the examiner to magnify the area of interest. During a colposcopy, the examiner can identify specific features such as vascular patterns, surface texture, and the presence of lesions.
**Why the Correct Answer is Right**
The upper 2/3rd of the endocervix cannot be visualized during a colposcopy. This is because the colposcope is designed to examine the external surface of the cervix, vagina, and vulva, but it does not have the capability to visualize the internal canal of the cervix. The internal canal of the cervix is not accessible through a colposcopy, and any abnormalities within this area would require further investigation using other diagnostic tools such as a Pap smear, biopsy, or endocervical curettage.
**Why Each Wrong Option is Incorrect**
**Option B:** Cervical carcinoma in situ is a type of abnormal cell growth that can be visualized during a colposcopy. The colposcope can detect the characteristic changes in the surface texture and vascular pattern of the cervix that are associated with this condition.
**Option C:** Cervical polyps can be visualized during a colposcopy. The colposcope can detect the presence of a polyp, which is a growth on the surface of the cervix that can be caused by a variety of factors, including inflammation, infection, or abnormal cell growth.
**Option D:** Cervical dysplasia is a type of abnormal cell growth that can be visualized during a colposcopy. The colposcope can detect the characteristic changes in the surface texture and vascular pattern of the cervix that are associated with this condition.
**Clinical Pearl / High-Yield Fact**
When performing a colposcopy, it is essential to remember that the procedure is not a substitute for a thorough gynecologic examination. A colposcopy should only be performed after a thorough examination of the cervix, vagina, and vulva has been conducted, and any abnormalities detected during the examination should be carefully evaluated and managed accordingly.
**β Correct Answer: A. Upper 2/3rdendocervix**