1. Pap smear
*Answer√√ cells are scraped from the cervix and examined under a microscope to check for disease or other
problems
cervix viewed through speculum with patient in lithotomy position
2. Cervical screening
*Answer√√ similar to PAP smear
look specifically for HPV infection
3. what is the number one cause of cervical cancer
*Answer√√ HPV
4. Cervical screening guidelines
*Answer√√ women aged 21-29 should have a PAP test alone every 3 years. HPV testing is not
recommended
,women aged 30-65 have 3 options
- PAP test only: normal results can wait 3 years
- HPV test only: normal results can wait 5 years
- HPV and PAP test (preferred): normal results can wait 4 years
5. HPV vaccine
*Answer√√ protects against the types of HPV that most often cause cervical cancers. HPV can also cause other
kinds of cancer in men and women
does not treat existing infection or disease
screening should be continued even if vaccinated
6. HPV is recommended to
*Answer√√ all aged 11-26 who have not been previously vaccinated (can be given as early as 9 years)
vaccine is approved for women and men up to 45 years old
7. Condyloma (HPV)
, *Answer√√ genital warts
may need to rule out dysplasia or carcinoma with a biopsy
test for other concurrent STIs
8. treatment chondyloma
*Answer√√ podofilox gel .5% TCA
(trichloroacetic acid)
Cryotherapy
, 9. most commonly diagnosed cancer in women in the US
*Answer√√ breast cancer
10. 2 main breast cancer risk factors
*Answer√√ female advancing age
11. other breast cancer risk factors
*Answer√√ family history of breast or ovarian cancer known gene mutation
early menarche, late menopause, nulliparity
alcohol consumption, smoking, higher BMI
12. secondary prevention breast cancer management
*Answer√√ clinical breast exam every 3 years to age 40 and every 1-2 years over 40
mammography annually beginning at age 40 or 10 years before the age of diagnosis in women with first degree
family history
13. Tertiary prevention breast cancer management
*Answer√√ referral to oncology team is required dependent on tumor stage, presence of hormone
receptors and patients symptoms, preferences