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what is the difference between a pap smear and a public exam the belief that a pelvic exam is equivalent to a pap smear is a common misconception but the difference is super important a pelvic exam is the manual or visual inspection of the pelvis this is often done in Urgent Care and emergency room in other clinical settings based on a patients complaints be it bleeding discharge pain Etc a pap smear however is a dedicated screening test for cervical cancer that involves a collection of cervical cells via direct contact with the cervix a pelvic exam must be done to perform a pap smear but not every pelvic exam involves the collection of a pap smear