NR602 FINAL EXAM
ASCCP recommended management for an ASCUS pap result with high risk hpv 16 cotest in 26
year old no abnormal paps
colposcopy
What is included in the well women of an adolescent?
health history
menses
gynecologic and pregnancy issues
psychosocial
abuse drugs alcohol use
physical exam
screening tests
immunizations
When does ACOG pap smear start
21 years old done every three years
ACOG pap for over 30 yrs old
,every five years with HPV test completed
ACOG when can you stop pap smear
can stop at 65 if negative history for 10 years or if they had a hysterectomy with no history of
cervical cancer
Bethesda pap smear report reads LSIL is what classification?
CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as
follow-up?
routine screening
a female patient is 35 years old. she has never had an abnormal PAP smear has regular
screening since age 18. If she has a normal PAP smear with HPV testing today, when should she
have the next cervical cancer screening?
5 years
,A young sexually active is having her first pap smear what would you explain?
pap smear detects cervical cancer
26 year old pap smear shows negative and positive HPV what do you do?
repeat HPV and pap
what is not part of criteria for older women to cease pap smears?
over 55 year old
no menarche in a 15 year old with no medical problems and Tanner stage 1 with a uterus
primary amenorrhea
No menses for at least 6 months
secondary amenorrhea
female athlete triad
disordered eating, amenorrhea, osteoporosis
, labs for female athlete triad
HCG
serum prolactin
serum TSH,FSH, LH
if amenorhea lasts longer than 6 months do what?
bone density test
treatment plan for female athlete triad
increase caloric intake, decrease exercise
prescribe ca and vit d 1200/1500 daily and vitamin e 400 iu daily
complications of female athlete triad
osteopenia/osteoporosis (stress fracture)
myocardial atrophy, arrhythmia, hypotension, brady
hypoglycemia, dehydration, electrolytes
ASCCP recommended management for an ASCUS pap result with high risk hpv 16 cotest in 26
year old no abnormal paps
colposcopy
What is included in the well women of an adolescent?
health history
menses
gynecologic and pregnancy issues
psychosocial
abuse drugs alcohol use
physical exam
screening tests
immunizations
When does ACOG pap smear start
21 years old done every three years
ACOG pap for over 30 yrs old
,every five years with HPV test completed
ACOG when can you stop pap smear
can stop at 65 if negative history for 10 years or if they had a hysterectomy with no history of
cervical cancer
Bethesda pap smear report reads LSIL is what classification?
CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what as
follow-up?
routine screening
a female patient is 35 years old. she has never had an abnormal PAP smear has regular
screening since age 18. If she has a normal PAP smear with HPV testing today, when should she
have the next cervical cancer screening?
5 years
,A young sexually active is having her first pap smear what would you explain?
pap smear detects cervical cancer
26 year old pap smear shows negative and positive HPV what do you do?
repeat HPV and pap
what is not part of criteria for older women to cease pap smears?
over 55 year old
no menarche in a 15 year old with no medical problems and Tanner stage 1 with a uterus
primary amenorrhea
No menses for at least 6 months
secondary amenorrhea
female athlete triad
disordered eating, amenorrhea, osteoporosis
, labs for female athlete triad
HCG
serum prolactin
serum TSH,FSH, LH
if amenorhea lasts longer than 6 months do what?
bone density test
treatment plan for female athlete triad
increase caloric intake, decrease exercise
prescribe ca and vit d 1200/1500 daily and vitamin e 400 iu daily
complications of female athlete triad
osteopenia/osteoporosis (stress fracture)
myocardial atrophy, arrhythmia, hypotension, brady
hypoglycemia, dehydration, electrolytes
