Podcast
Questions and Answers
What is the recommended follow-up for a patient with ASCUS?
What is the recommended follow-up for a patient with ASCUS?
- Immediate treatment for possible infection
- Colposcopy immediately
- HPV triage with HPV DNA testing (correct)
- Repeat PAP smear in 12 months
Which of the following statements is true regarding LSIL and HSIL positive PAP smears?
Which of the following statements is true regarding LSIL and HSIL positive PAP smears?
- They should prompt a repeat PAP smear in 6 months
- They indicate a certainty of cancer
- They must be referred for colposcopy (correct)
- They require no further action
What should be done if a patient shows candida albicans on a negative PAP smear?
What should be done if a patient shows candida albicans on a negative PAP smear?
- Only treat if the patient is symptomatic (correct)
- Refer for colposcopy to check for pre-cancerous changes
- Treat aggressively with antifungals
- Schedule for a repeat PAP smear immediately
What is NOT a common workup for postcoital bleeding in patients with ASCUS?
What is NOT a common workup for postcoital bleeding in patients with ASCUS?
Which statement accurately describes the relationship between ASCUS, LSIL, HSIL, and symptoms?
Which statement accurately describes the relationship between ASCUS, LSIL, HSIL, and symptoms?
What is the appropriate follow-up for a patient with a negative PAP smear that shows candida albicans?
What is the appropriate follow-up for a patient with a negative PAP smear that shows candida albicans?
Which of the following actions is primary when a patient experiences postcoital bleeding?
Which of the following actions is primary when a patient experiences postcoital bleeding?
In the case of ASCUS, what finding would indicate further investigation rather than observation?
In the case of ASCUS, what finding would indicate further investigation rather than observation?
What is a significant characteristic of ASCUS, LSIL, and HSIL regarding symptoms?
What is a significant characteristic of ASCUS, LSIL, and HSIL regarding symptoms?
If an ASCUS patient tests positive for HPV DNA, what is the next recommended step?
If an ASCUS patient tests positive for HPV DNA, what is the next recommended step?
Study Notes
Follow-Up for ASCUS Positive Results
- TCU (Typical Cytologic Usual) should repeat PAP smear in 6 months.
- HPV triage is performed with HPV DNA testing:
- If positive, patient should undergo colposcopy.
- If negative, repeat HPV DNA should be done in 3 years.
Management of LSIL and HSIL
- Positive results for LSIL (Low-Grade Squamous Intrapithelial Lesion) and HSIL (High-Grade Squamous Intrapithelial Lesion) require referral for colposcopy.
Negative PAP Smear with Candida Albicans
- Candida albicans detected in a negative PAP smear does not warrant treatment unless the patient exhibits symptoms such as itching or malodorous vaginal discharge.
Symptoms Related to ASCUS
- Patients with ASCUS (Atypical Squamous Cells of Undetermined Significance) should not experience postcoital bleeding.
- If postcoital bleeding occurs, further investigation is necessary:
- Rule out pregnancy.
- Rule out infection.
- Rule out cervical ectropion (where cervical cells are visible externally).
Key Points on ASCUS, LSIL, and HSIL
- ASCUS, LSIL, and HSIL are classified as pre-cancerous conditions.
- Patients with these conditions typically do not exhibit any symptoms like bleeding or pain, as the basement membrane remains intact.
Follow-Up for ASCUS Positive Results
- TCU (Typical Cytologic Usual) should repeat PAP smear in 6 months.
- HPV triage is performed with HPV DNA testing:
- If positive, patient should undergo colposcopy.
- If negative, repeat HPV DNA should be done in 3 years.
Management of LSIL and HSIL
- Positive results for LSIL (Low-Grade Squamous Intrapithelial Lesion) and HSIL (High-Grade Squamous Intrapithelial Lesion) require referral for colposcopy.
Negative PAP Smear with Candida Albicans
- Candida albicans detected in a negative PAP smear does not warrant treatment unless the patient exhibits symptoms such as itching or malodorous vaginal discharge.
Symptoms Related to ASCUS
- Patients with ASCUS (Atypical Squamous Cells of Undetermined Significance) should not experience postcoital bleeding.
- If postcoital bleeding occurs, further investigation is necessary:
- Rule out pregnancy.
- Rule out infection.
- Rule out cervical ectropion (where cervical cells are visible externally).
Key Points on ASCUS, LSIL, and HSIL
- ASCUS, LSIL, and HSIL are classified as pre-cancerous conditions.
- Patients with these conditions typically do not exhibit any symptoms like bleeding or pain, as the basement membrane remains intact.
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Description
This quiz covers the follow-up protocols for ASCUS positive results, including the timing for repeat PAP smears and HPV triage procedures. It also addresses management strategies for LSIL and HSIL findings, as well as handling negative PAP results with candida albicans symptoms. Ensure you're prepared for assessing postcoital bleeding and related investigations.
