ASCUS Follow-up and Management Procedures
10 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

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?

  • 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?

  • 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?

    <p>Performing a colposcopy directly</p> Signup and view all the answers

    Which statement accurately describes the relationship between ASCUS, LSIL, HSIL, and symptoms?

    <p>Bleeding and pain should NOT occur as the basement membrane remains intact</p> Signup and view all the answers

    What is the appropriate follow-up for a patient with a negative PAP smear that shows candida albicans?

    <p>Treatment only if the patient reports symptoms</p> Signup and view all the answers

    Which of the following actions is primary when a patient experiences postcoital bleeding?

    <p>Conduct a workup including a pregnancy test</p> Signup and view all the answers

    In the case of ASCUS, what finding would indicate further investigation rather than observation?

    <p>Presence of abnormal cervical cells during colposcopy</p> Signup and view all the answers

    What is a significant characteristic of ASCUS, LSIL, and HSIL regarding symptoms?

    <p>They should not present with any bleeding or pain.</p> Signup and view all the answers

    If an ASCUS patient tests positive for HPV DNA, what is the next recommended step?

    <p>Colposcopy</p> Signup and view all the answers

    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.
    • 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.
    • 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.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    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.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser