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28yo G2P2 f/u on abnl Pap test which reveals ASCUS Reflex HPV testing is positive for high risk type has never had a prior abnl Pap test has been following the rec'd screening guidelines asx'ic 2 | P a g e pelvic exam reveals a nl cx with a small amt of cervical mucous What is the next best step in the management of this pt? : Colposcopy is indicated for all abnl Pap test results including ASCUS Pap test when HPV is positive Reflex HPV testing for high-risk DNA types should be performed in pts with ASCUS If negative, then co-testing with cytology and HPV can be repeated in 3y Repeat cytology in 1y is also an acceptable option for ASCUS if HPV testing cannot be done 17yo G0 high school student brought in by mother for her 1st gyn exam 3 | P a g e began her menses at 12yo regular periods x3y LMP 1wk ago For privacy, you ask to examine the pt without mother Further hx is obtained in the exam room admits has been sexually active with her bf x3y uses condoms occasionally fearful about possible pregnancy requests her mother not be informed about her sexual activity 4 | P a g e anxious nly developed pelvic exam reveals: no vulvar lesions minimal non-malodorous d/c nulliparous appearing cx bimanual exam reveals: nl size uterus adnexa are NT and not enlarged UPT is negative In add'n to discussing contraception, what is the next best step in the management of this pt?