eprint.pdfThe
lueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
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Ultimate
3:37:21
MedPMThe
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Final Exam
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•What is the purpose of pap smears
A Papanicolaou test, or Pap test, is done during a pelvic examination. The Pap test involves
collecting cells from the cervix using a brush or spatula. The sample is evaluated in the
laboratory to detect abnormal cervical cells or human papillomavirus, which causes cervical
cancer.
•At what age do we begin routine pap screening?
Current recommendations for female clients between the ages of 21 to 29 are to encourage
an annual pelvic examination to be performed and a Pap test completed at least every 3
years. Recommended screening options for female clients between the ages of 30 to 65
include obtaining a Pap test only every 3 years, a Pap test and human papillomavirus (HPV)
test every 5 years, or only an HPV test every 5 years. Clients over the age of 65 and who
have had negative Pap or HPV testing for 10 years, or who have had a hysterectomy or had
their cervix removed, may cease cervical cancer screening.
ed
lueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
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,eprint.pdfThe
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9/25/2026,
Ultimate
3:37:21
MedPMThe
Surg 2 Ultimate
Final Exam
MedBlueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$
Surg 2 Final Exam Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
•Provider can order co HPV testing. What strains are more likely to cause cervical cancer?
Others may cause genital warts, oral cancer etc
- Human papillomavirus causes cervical cancer
- HPV 16&18 are most common cause of cervical cancer, along with chlamydia infection
•A pap smear can be completed at any point during menstrual cycle
The test should not be done while the client is menstruating.
ed
lueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
SurgThe
2 Final
Ultimate
ExamMed
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Surg 2 Final Exam Blueprint.pdfThe Ultimate Med Surg 2 Final Exam Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@
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9/25/2026,
Ultimate
3:37:21
MedPMThe
Surg 2 Ultimate
Final Exam
MedBlueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$
Surg 2 Final Exam Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
•What is pertinent patient education related to pap smear?
The provider will insert a speculum into the vagina. A soft brush or spatula will be used to
collect cells from the cervix. The sample will be sent to the lab. The procedure may be
slightly uncomfortable for the client due to pressure during the procedure. There may be a
small amount of vaginal bleeding after the test. The client should notify the provider if there
is bleeding that lasts more than 24 hr.
•Ask patient if they have received HPV vaccine (Gardasil) as HPV is linked with cervical
cancer
•Can begin Gardasil series at age 9. (9-14 year old get 2 dose series, >14 get 3 dose series)
Endometrial Biopsy - What is it?
•A small piece of tissue from the lining of the uterus (endometrium) is removed to examine
irregularities. This is used to diagnose uterine cancer
ed
lueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
SurgThe
2 Final
Ultimate
ExamMed
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Surg 2 Final Exam Blueprint.pdfThe Ultimate Med Surg 2 Final Exam Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@
,eprint.pdfThe
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9/25/2026,
Ultimate
3:37:21
MedPMThe
Surg 2 Ultimate
Final Exam
MedBlueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$
Surg 2 Final Exam Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Endometrial Biopsy - Post Procedure Education
Cramping, spotting is normal.
Endometrial Biopsy - How much vaginal bleeding is concerning and would need to notify
provider?
- soaking through a pad in 1 hour
- Abnormal uterine bleeding is the most common symptom, this is the hallmark symptom
- Postmenopausal women: Any bleeding after menopause is considered endometrial cancer
until proven otherwise. Spotting, Light bleeding, Heavy or recurrent bleeding*
Endometrial Biopsy: Do not insert anything into the vagina for seven days post procedure,
including:
tampons, sexual intercourse, douching
ed
lueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
SurgThe
2 Final
Ultimate
ExamMed
Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$
Surg 2 Final Exam Blueprint.pdfThe Ultimate Med Surg 2 Final Exam Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@
lueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
9/25/2026,
Ultimate
3:37:21
MedPMThe
Surg 2 Ultimate
Final Exam
MedBlueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$
Surg 2 Final Exam Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
•What is the purpose of pap smears
A Papanicolaou test, or Pap test, is done during a pelvic examination. The Pap test involves
collecting cells from the cervix using a brush or spatula. The sample is evaluated in the
laboratory to detect abnormal cervical cells or human papillomavirus, which causes cervical
cancer.
•At what age do we begin routine pap screening?
Current recommendations for female clients between the ages of 21 to 29 are to encourage
an annual pelvic examination to be performed and a Pap test completed at least every 3
years. Recommended screening options for female clients between the ages of 30 to 65
include obtaining a Pap test only every 3 years, a Pap test and human papillomavirus (HPV)
test every 5 years, or only an HPV test every 5 years. Clients over the age of 65 and who
have had negative Pap or HPV testing for 10 years, or who have had a hysterectomy or had
their cervix removed, may cease cervical cancer screening.
ed
lueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
SurgThe
2 Final
Ultimate
ExamMed
Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$
Surg 2 Final Exam Blueprint.pdfThe Ultimate Med Surg 2 Final Exam Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@
,eprint.pdfThe
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9/25/2026,
Ultimate
3:37:21
MedPMThe
Surg 2 Ultimate
Final Exam
MedBlueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$
Surg 2 Final Exam Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
•Provider can order co HPV testing. What strains are more likely to cause cervical cancer?
Others may cause genital warts, oral cancer etc
- Human papillomavirus causes cervical cancer
- HPV 16&18 are most common cause of cervical cancer, along with chlamydia infection
•A pap smear can be completed at any point during menstrual cycle
The test should not be done while the client is menstruating.
ed
lueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
SurgThe
2 Final
Ultimate
ExamMed
Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$
Surg 2 Final Exam Blueprint.pdfThe Ultimate Med Surg 2 Final Exam Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@
,eprint.pdfThe
lueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
9/25/2026,
Ultimate
3:37:21
MedPMThe
Surg 2 Ultimate
Final Exam
MedBlueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$
Surg 2 Final Exam Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
•What is pertinent patient education related to pap smear?
The provider will insert a speculum into the vagina. A soft brush or spatula will be used to
collect cells from the cervix. The sample will be sent to the lab. The procedure may be
slightly uncomfortable for the client due to pressure during the procedure. There may be a
small amount of vaginal bleeding after the test. The client should notify the provider if there
is bleeding that lasts more than 24 hr.
•Ask patient if they have received HPV vaccine (Gardasil) as HPV is linked with cervical
cancer
•Can begin Gardasil series at age 9. (9-14 year old get 2 dose series, >14 get 3 dose series)
Endometrial Biopsy - What is it?
•A small piece of tissue from the lining of the uterus (endometrium) is removed to examine
irregularities. This is used to diagnose uterine cancer
ed
lueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
SurgThe
2 Final
Ultimate
ExamMed
Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$
Surg 2 Final Exam Blueprint.pdfThe Ultimate Med Surg 2 Final Exam Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@
,eprint.pdfThe
lueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
9/25/2026,
Ultimate
3:37:21
MedPMThe
Surg 2 Ultimate
Final Exam
MedBlueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$
Surg 2 Final Exam Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Endometrial Biopsy - Post Procedure Education
Cramping, spotting is normal.
Endometrial Biopsy - How much vaginal bleeding is concerning and would need to notify
provider?
- soaking through a pad in 1 hour
- Abnormal uterine bleeding is the most common symptom, this is the hallmark symptom
- Postmenopausal women: Any bleeding after menopause is considered endometrial cancer
until proven otherwise. Spotting, Light bleeding, Heavy or recurrent bleeding*
Endometrial Biopsy: Do not insert anything into the vagina for seven days post procedure,
including:
tampons, sexual intercourse, douching
ed
lueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
SurgThe
2 Final
Ultimate
ExamMed
Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$
Surg 2 Final Exam Blueprint.pdfThe Ultimate Med Surg 2 Final Exam Blueprint.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@
