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RN Nursing · GI Assessment · Practice question

A bright, red, soft, and fragile lesion near the cervical os is most likely a characteristic of which of the following conditions?

Answer & explanation

Correct: A cervical polyp.

A cervical polyp typically appears as a bright red, soft, fragile, pedunculated lesion protruding from or near the cervical os. Polyps are benign overgrowths of endocervical or ectocervical tissue and are highly vascular, which explains their red color and tendency to bleed easily on contact. They are commonly found incidentally during speculum examination and are more frequent in multiparous women of reproductive age. A retention cyst, also called a nabothian cyst, appears as a smooth, whitish or yellowish raised lesion on the cervical surface resulting from blocked mucous glands — it is not red or fragile. An epidermoid cyst is a firm, round, flesh-colored or whitish cyst typically found on skin surfaces such as the vulva and does not match the described characteristics near the cervical os. A syphilitic chancre is a painless, indurated, firm ulcer with clean edges, typically caused by Treponema pallidum — it would not be described as a bright red, soft, fragile lesion. The combination of red color, soft texture, fragility, and location near the cervical os is the classic description of a cervical polyp, making it the most accurate identification among the options presented.

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