CMN 572 TESTS III CERTIFICATION
PREPARATION 2026 REVIEW SHEET SOLVED
QUESTIONS GUARANTEED PASS
◉ When does HPV usually regress?
Answer: 1-2 years
◉ At what age should Pap smears be started?
Answer: 21
◉ What cervical cancer screening is done from age 21-29?
Answer: cytology every 3 years
◉ What cervical cancer screenings are done at age 30-65?
Answer: cytology alone very 3 years or *preferred* co-testing (HPV
and pap) every 5 years
◉ What is considered high-grade precancerous lesion?
Answer: CIN 2 or 3
◉ What should you get patient's to sign (especially younger
patients) when providing counseling on oral contraceptives?
,Answer: an informed consent and disclosure sheet that covers
possible side effects warning signs, drug interactions, and what to do
if you forget one or two pills
◉ What are warning signs for oral contraceptives?
Answer: ACHES- Abd. pain (thrombosis), chest pain (PE or MI),
Headaches (stroke), eye problems (thrombosis), or severe leg pain
(thrombosis)
◉ How long is a back-up method recommended when starting oral
contraceptives?
Answer: 7 days
◉ What are the most common side effects of oral contraceptives?
Answer: nausea and fatigue
◉ When should OCs be started with a Sunday start?
Answer: The Sunday following the start of menses
◉ What OC start method had the highest continuation rate?
Answer: Quick start- start on the day of office visit.
,◉ When should a urine preg test be done when using the quick start
method?
Answer: if > 5 days since last menses and unprotected sex
◉ What patient education should be done for the first 3-6 months
on patients starting OC?
Answer: expect breakthrough bleeding, take at same time everyday,
taking in the evening can minimize side effects
◉ How often do women have menses on an extended cycle pill?
Answer: once every 3-12 months
◉ Medication strength for combination pills should not be greater
than what?
Answer: 1/35 (progestin/estrogen)
◉ Patients with a family history of what should get tested before
beginning oral contraceptives?
Answer: clotting disorders (Factor V Leiden)
◉ Patients with a family history of _____ before age _____ need to be
evaluated by a specialist before starting OCPs
Answer: CVD; 50
, ◉ Patients with heavy bleeding should get what test before OCP
start?
Answer: platelet function test to r/o bleeding disorder
◉ What type of OCP should be prescribed for women with estrogen
sensitivity?
Answer: progestin-only pills or combination pills with 20mcg of
ethinyl estradiol
◉ What usually causes premenstrual migraines?
Answer: drop in estrogen
◉ When should OCPs be d'cd or avoided in relation to headaches?
Answer: with new or worsening headache or hx of migraines with
aura
◉ What is the most common reason women discontinue OCPs?
Answer: breakthrough bleeding
◉ breakthrough bleeding is most common in which type of OCP?
Answer: low dose combination pills and progestin only pills, and
extended use cycles
PREPARATION 2026 REVIEW SHEET SOLVED
QUESTIONS GUARANTEED PASS
◉ When does HPV usually regress?
Answer: 1-2 years
◉ At what age should Pap smears be started?
Answer: 21
◉ What cervical cancer screening is done from age 21-29?
Answer: cytology every 3 years
◉ What cervical cancer screenings are done at age 30-65?
Answer: cytology alone very 3 years or *preferred* co-testing (HPV
and pap) every 5 years
◉ What is considered high-grade precancerous lesion?
Answer: CIN 2 or 3
◉ What should you get patient's to sign (especially younger
patients) when providing counseling on oral contraceptives?
,Answer: an informed consent and disclosure sheet that covers
possible side effects warning signs, drug interactions, and what to do
if you forget one or two pills
◉ What are warning signs for oral contraceptives?
Answer: ACHES- Abd. pain (thrombosis), chest pain (PE or MI),
Headaches (stroke), eye problems (thrombosis), or severe leg pain
(thrombosis)
◉ How long is a back-up method recommended when starting oral
contraceptives?
Answer: 7 days
◉ What are the most common side effects of oral contraceptives?
Answer: nausea and fatigue
◉ When should OCs be started with a Sunday start?
Answer: The Sunday following the start of menses
◉ What OC start method had the highest continuation rate?
Answer: Quick start- start on the day of office visit.
,◉ When should a urine preg test be done when using the quick start
method?
Answer: if > 5 days since last menses and unprotected sex
◉ What patient education should be done for the first 3-6 months
on patients starting OC?
Answer: expect breakthrough bleeding, take at same time everyday,
taking in the evening can minimize side effects
◉ How often do women have menses on an extended cycle pill?
Answer: once every 3-12 months
◉ Medication strength for combination pills should not be greater
than what?
Answer: 1/35 (progestin/estrogen)
◉ Patients with a family history of what should get tested before
beginning oral contraceptives?
Answer: clotting disorders (Factor V Leiden)
◉ Patients with a family history of _____ before age _____ need to be
evaluated by a specialist before starting OCPs
Answer: CVD; 50
, ◉ Patients with heavy bleeding should get what test before OCP
start?
Answer: platelet function test to r/o bleeding disorder
◉ What type of OCP should be prescribed for women with estrogen
sensitivity?
Answer: progestin-only pills or combination pills with 20mcg of
ethinyl estradiol
◉ What usually causes premenstrual migraines?
Answer: drop in estrogen
◉ When should OCPs be d'cd or avoided in relation to headaches?
Answer: with new or worsening headache or hx of migraines with
aura
◉ What is the most common reason women discontinue OCPs?
Answer: breakthrough bleeding
◉ breakthrough bleeding is most common in which type of OCP?
Answer: low dose combination pills and progestin only pills, and
extended use cycles
