OB/GYN Shelf: UWISE Notes Exam | Questions & 100% Correct Answers (Verified) | Latest Update | Grade A+

What is the next step which is indicated for any *ABNORMAL pap* when *HPV is (+)*? : *COLPOSCOPY* Such abnormal results include ASCUS: atypical squamous cells of undetermined significance What should you do for a patient with *ASCUS* (atypical squamous cell of undetermined significance) if their *HPV test is (-)*? : Can then manage using CO-testing with cytology & HPV to be repeated in 3 yrs. Repeat cytology can occur in 1 yr with ASCUS if the HPV test cannot be completed. 2 | P a g e the GUIDELINES for *initiaiton of Cervical Cancer Screenings* (AKA; pap smears) if currently at what age? : Age *21* -- this is regardless of the patients coitarche (beginning sexual intercourse) What is the typical screening for STIs in an asymptomatic patient? : DNA probes for gonorrhea & chlamydia. What screening test is *NOT indicated* in patients who have had a *hysterectomy* (special circumstance for hysterectomy)? : *PAP Smear* is NOT indicated in a person who had a hysterectomy for reasons other than: *cervical cancer* or *HIGH-grade cervical dysplasia* At what point in a patients life could you discontinue *pap smears*? 3 | P a g e (assume that patient still has a uterus) : *B/w ages 65-70* if they have had = --3 consecutive (-) smears --2 consecutive (-) cotesting (pap + HPV) in last 10 yrs --NO Hx of high-grade cervical intraepithelial neoplasia or cancer What can be done for screening in a women who is 30 y/o with a normal pap and (-) HPV screening? : You can either: Screen w/ *cytology + HPV screen* (CO-testing) *q5yrs* or *cytology ALONE q3yrs* This is for women b/w 30 and 65 who had NEVER had abnormal pap and are (-) HPV. What is the next best immediate step in management for a patient that has had a pap test result of *HIGH-grade SQUAMOUS INTRAepithelial lesion (HSIL)*? 4 | P a g e : Guidelines recommend either: *immediated LEEP* (loop electrical excision procedure* or *Colposcopy* Usually wait for LEEP in patients that have a colposcopy with inadequate results. Cryotherapy would be unacceptable b/c this does NOT provide a tissue sample. What symptoms would make you suspect an *ACUTE Salpingitis* (pelvic inflammatory disease)? : Lower abdominal pain *adnexel tenderness* *vaginal discharge* *fever* *cervical MOTION tenderness* What should you do if ther