Gnrs 5669 Exam 1 Questions And Answers

GNRS 5669 EXAM 1 QUESTIONS AND ANSWERS
Abnormal pap smear less then 25 years old: - CORRECT ANSWER✅✅if ASCUS or LSIL result

-repeat cytology at 1 year, if neg x2. routine q3 years

-if pos get colposcopy

-if HPV is neg, routine screening



Routine HPV testing: - CORRECT ANSWER✅✅21-29 years old Cytology ONLY, NO HPV test

30-65 years old cervical cytology every 3 years, pap and HPV (cotesting)



Abnormal pap greater than 25 years old: - CORRECT ANSWER✅✅ASCUS result

-repeat cytology in 1 year

-if neg: routine screening

-if pos: colposcopy

-if HPV neg: cotesting at 3 years (routine)

-if HPV pos: colposcopy



LSIL result:

-neg HPV: cotest @ 1year

-if cytology and HPV neg: cotest @ 3 years

-LSIL with or without HPV-colposcopy



Atypical squamous cell result: - CORRECT ANSWER✅✅refer to GYN

colposcopy



Atypical grandular cells (AGC) result: - CORRECT ANSWER✅✅refer!

obtain colposcopy with endocervical sampling (if not preg), and endometrial sampling if 35 years of age
or greater, OR less than 35 and have risk factors

, High-grade squamous intraepithelial lesion (HSIL) result: - CORRECT ANSWER✅✅21-24yrs old-
colposcopy

25+- immediate extensional treatment of colp and refer!



Vaccines age 19-49: - CORRECT ANSWER✅✅tdap q 10years

HPV (one series in females 26 years or younger)

Influenza

MMR, HIB, varicella

Hep A and B, meningococcal and pneumonia



Vaccines age 50-64: - CORRECT ANSWER✅✅Herpes zoster (50-65+)

influenza

HIB

MMR

Tdap



Vaccines age 65+: - CORRECT ANSWER✅✅herpes zoster

flu

tdap

pneumoccocal

HIB

Hep A and B, meningococcal



Flu vaccine in pregnancy: - CORRECT ANSWER✅✅-only give in 2nd and 3rd trimester

-preservative free



Rubella vaccine and pregnancy: - CORRECT ANSWER✅✅DO NOT GIVE PREG

-advise patients who receive rubella vaccine postpartum to not get preg for 3mo