Women's Health Routine Gynecology Questions and Answers 2023/2024

What are the components of a routine gyn exam? - ***Cervical Health Breast health Bone health Colon health Menses Birth control Menopause Infertility What is the standard cytologic screening taken for cervical health? - ***Papanicolaou smear (PAP smear) What infection is a factor in the development of cervical cancer? - ***Human Papilloma Virus (HPV) What is the most common sexually transmitted disease? - ***HPV What strains of HPV account for most cervical cancer? - ***HPV 16 and 18 What strains of HPV account for most genital warts? - ***HPV 6 and 11 Who does not get screened for cervical cancer? - ***women younger than 21, women older than 65 who are not high risk, women after hysterectomy with no hx of cancer How often should women age 21-65 be screened for cervical cancer? - ***every 3 years When should women start being screened for HPV and cervical cancer? - ***age 30 How often should you screen for HPV along with cervical cancer in women over 30? - ***every 5 years What are some examples of common abnormalities noted on cytology? - ***cervical dysplasia (with or without HPV), Atypical glandular cells, endometrial cells What is a neoplastic process that has not violated the epithelial basement membrane of the cervix? - ***cervical dysplasia (Cervical intraepithelial neoplasia - CIN) What is high grade dysplasia involving the full thickness of the epithelium of the cervix? - ***carcinoma in situ What is dysplasia that has invaded the basement membrane of the cervix? - ***cervical cancer How often does carcinoma in situ process to cancer? - ***15-33% is the bethesda classification system for cytology or histopathology? - ***cytology is the WHO classification system for cytology or histopathology? - ***histopathology LSIL on the bethesda scale coincides with what on the WHO classification? - ***condyloma and CIN 1 (mild dysplasia) HSIL on the bethesda scale coincides with what on the WHO classification? - ***CIN 2 and CIN 3 How does invasive cervical cancer spread? - ***primarily by direct extension or lymphatic dissemination What is the treatment regimen for cervical cancer? - ***radical hysterectomy and pelvic lymphadenectomy, radiation with concomitant chemotherapy, or a combination of all. What is the risk for atypical glandular cells on PAP to develop significant underlying pathology? - ***50% What is ACIS? - ***cervical adenocarcinoma in situ - precursor of adenocarcinoma of the cervix which comprises ~25% of cervical cancers in the US. Are the ACIS visible on exam? are they pathognomonic? - ***no. n