NUR 684- Test #2- Questions & Answers
Cervical cancer (incidence) Correct Ans-Black & Hispanic women have higher incidence:
White- 7.3%
Black- 9.0%
Hispanic- 9.8%
Cervical cancer (risk factors) Correct Ans-**#1 risk factor- HPV**
^types 16 & 18
-Early age at first intercourse
-Multiple sex partners
-Infections with HSV-2 & chlamydia
-Current & former smokers
-Immunosuppression
-Use of combined oral contraceptives
-3 or more full-term pregnancies
-Diets low in fruits and vegetables
Cervical cancer (protective factors) Correct Ans--IUD use
,Cervical cancer (S/S) Correct Ans--Abnormal vaginal bleeding
Specimen collection devices for pap tests Correct Ans--Spatula/extended-tip spatula
-Endocervical brush
-Broom
DO NOT USE cotton-tip swab for pap test
Alternative to conventional pap test? Correct Ans-Liquid-based cervical cytology test
Liquid-based cervical cytology test (pros & cons) Correct Ans-Pros: can be used to test for
HPV, C/G, trich
Cons: more expensive
Routine Pap test intervals Correct Ans-**Q 3 years --> beginning at age 21 - 65 years old**
At 30 years old, if HPV co-test done can extend pap smear interval to Q 5 years
When should co-testing with HPV test be done? Correct Ans-Ages 30-65 Q 5 years
,Management of ASC-US Correct Ans-Atypical Squamous Cells of Undetermined
Significance:
***Repeat pap in 1 year***
^if second pap still shows ASC-US at 25 & above --> COLPOSCOPY
If also (+) HPV test at 25 & above --> COLPOSCOPY
If also (+) HPV test at 21-24 --> repeat pap test in 1 year
Management of atypical squamous cells & cannot exclude HSIL Correct Ans-
COLPOSCOPY regardless of HPV status or age!
Management of LSIL Correct Ans-Low-grade Squamous Intraepithelial Lesion:
w/ (-) HPV test --> repeat pap test in 1 year
w/ no HPV test --> COLPOSCOPY
w/ (+) HPV test --> COLPOSCOPY
Management of LSIL in pregnant women Correct Ans-COLPOSCOPY preferred!
Acceptable to defer colposcopy till 6 weeks postpartum
21-24 year olds with ASC-US or LSIL Correct Ans-Need these results on 3 consecutive pap
tests 1 year apart before colposcopy needed!
, 25 years old and above with ASC-US or LSIL Correct Ans-Only need these results on 2
consecutive pap tests 1 year apart before colposcopy needed
Management of HSIL Correct Ans-High-grade Squamous Intraepithelial Lesion:
COLPOSCOPY
-OR-
LEEP (loop electrosurgical excision procedure)
Management of AGC - atypical endometrial cells Correct Ans-Atypical Glandular Cells:
Endometrial & Endocervical sampling -->
if no pathology then COLPOSCOPY
Management of AGC- all other subcategories Correct Ans-Endocervical sampling &
COLPOSCOPY
Also, endometrial sampling if >35 years old
"Perfect use" regarding contraception (define) Correct Ans-AKA efficacy; how well a method
works inherently when used consistently and correctly at all times
"Typical use" regarding contraception (define) Correct Ans-AKA effectiveness; how well a
method works in actual practice
Cervical cancer (incidence) Correct Ans-Black & Hispanic women have higher incidence:
White- 7.3%
Black- 9.0%
Hispanic- 9.8%
Cervical cancer (risk factors) Correct Ans-**#1 risk factor- HPV**
^types 16 & 18
-Early age at first intercourse
-Multiple sex partners
-Infections with HSV-2 & chlamydia
-Current & former smokers
-Immunosuppression
-Use of combined oral contraceptives
-3 or more full-term pregnancies
-Diets low in fruits and vegetables
Cervical cancer (protective factors) Correct Ans--IUD use
,Cervical cancer (S/S) Correct Ans--Abnormal vaginal bleeding
Specimen collection devices for pap tests Correct Ans--Spatula/extended-tip spatula
-Endocervical brush
-Broom
DO NOT USE cotton-tip swab for pap test
Alternative to conventional pap test? Correct Ans-Liquid-based cervical cytology test
Liquid-based cervical cytology test (pros & cons) Correct Ans-Pros: can be used to test for
HPV, C/G, trich
Cons: more expensive
Routine Pap test intervals Correct Ans-**Q 3 years --> beginning at age 21 - 65 years old**
At 30 years old, if HPV co-test done can extend pap smear interval to Q 5 years
When should co-testing with HPV test be done? Correct Ans-Ages 30-65 Q 5 years
,Management of ASC-US Correct Ans-Atypical Squamous Cells of Undetermined
Significance:
***Repeat pap in 1 year***
^if second pap still shows ASC-US at 25 & above --> COLPOSCOPY
If also (+) HPV test at 25 & above --> COLPOSCOPY
If also (+) HPV test at 21-24 --> repeat pap test in 1 year
Management of atypical squamous cells & cannot exclude HSIL Correct Ans-
COLPOSCOPY regardless of HPV status or age!
Management of LSIL Correct Ans-Low-grade Squamous Intraepithelial Lesion:
w/ (-) HPV test --> repeat pap test in 1 year
w/ no HPV test --> COLPOSCOPY
w/ (+) HPV test --> COLPOSCOPY
Management of LSIL in pregnant women Correct Ans-COLPOSCOPY preferred!
Acceptable to defer colposcopy till 6 weeks postpartum
21-24 year olds with ASC-US or LSIL Correct Ans-Need these results on 3 consecutive pap
tests 1 year apart before colposcopy needed!
, 25 years old and above with ASC-US or LSIL Correct Ans-Only need these results on 2
consecutive pap tests 1 year apart before colposcopy needed
Management of HSIL Correct Ans-High-grade Squamous Intraepithelial Lesion:
COLPOSCOPY
-OR-
LEEP (loop electrosurgical excision procedure)
Management of AGC - atypical endometrial cells Correct Ans-Atypical Glandular Cells:
Endometrial & Endocervical sampling -->
if no pathology then COLPOSCOPY
Management of AGC- all other subcategories Correct Ans-Endocervical sampling &
COLPOSCOPY
Also, endometrial sampling if >35 years old
"Perfect use" regarding contraception (define) Correct Ans-AKA efficacy; how well a method
works inherently when used consistently and correctly at all times
"Typical use" regarding contraception (define) Correct Ans-AKA effectiveness; how well a
method works in actual practice
