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Questions and Answers
A 25-year-old woman who has been sexually active for 5 years receives a Pap test result indicating cervical cell abnormalities. Which test would be MOST appropriate as the next step in diagnosis?
A 25-year-old woman who has been sexually active for 5 years receives a Pap test result indicating cervical cell abnormalities. Which test would be MOST appropriate as the next step in diagnosis?
- Initiate immediate chemotherapy to target the abnormal cells.
- Schedule a colposcopy and cervical biopsy for further evaluation. (correct)
- Prescribe antibiotics to treat a presumed infection causing the abnormal cells.
- Order a CT scan to determine the extent of the cellular abnormalities.
A 30-year-old woman's Pap test returns a false-negative result. What is the MOST significant implication of this result?
A 30-year-old woman's Pap test returns a false-negative result. What is the MOST significant implication of this result?
- The woman will experience immediate and severe symptoms of cervical cancer.
- The woman is guaranteed to not develop cervical cancer in the future.
- The woman's sexual partner is likely to have a sexually transmitted infection.
- The woman may have undetected cervical cell abnormalities that could progress without intervention. (correct)
A 22-year-old woman who has been sexually active for 2 years asks how often she should be screened for cervical cancer based on the ACS guidelines. What is the MOST appropriate recommendation?
A 22-year-old woman who has been sexually active for 2 years asks how often she should be screened for cervical cancer based on the ACS guidelines. What is the MOST appropriate recommendation?
- Begin cervical cancer screening immediately, as she is over the age of 21. (correct)
- Delay cervical cancer screening until she experiences symptoms such as abnormal bleeding.
- Undergo immediate and continuous screening for cervical cancer, since she is already sexually active.
- Delay cervical cancer screening for another year, as screening should begin 3 years after becoming sexually active.
What is the PRIMARY advantage of using a liquid-based Pap test technique compared to traditional Pap tests?
What is the PRIMARY advantage of using a liquid-based Pap test technique compared to traditional Pap tests?
After a diagnosis of cervical cancer, a patient undergoes a CT scan, chest radiographic evaluation, and liver function studies. What is the MOST likely purpose of these additional diagnostic studies?
After a diagnosis of cervical cancer, a patient undergoes a CT scan, chest radiographic evaluation, and liver function studies. What is the MOST likely purpose of these additional diagnostic studies?
Flashcards
What is a Pap test?
What is a Pap test?
A screening test where cells are collected from the cervix and examined for abnormalities that could indicate precancerous or cancerous changes.
What is a colposcopy?
What is a colposcopy?
A procedure that uses a special microscope to examine the cervix, vagina, and vulva for abnormal areas.
When should cervical cancer screening start?
When should cervical cancer screening start?
The American Cancer Society suggests initiating cervical cancer screening around 3 years after a woman starts having vaginal intercourse, but no later than age 21.
How is the extent of invasion determined?
How is the extent of invasion determined?
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Study Notes
- Cervical cancer can be diagnosed using the following tests:
- Pap test
- Physical examination
- Colposcopy and cervical biopsy
- Additional diagnostic studies (CT scan, chest radiographic evaluation, IV pyelogram, cystoscopy, sigmoidoscopy, or liver function studies) determine the extent of invasion.
- The American Cancer Society (ACS) recommends that cervical cancer screening should begin approximately 3 years after a woman begins vaginal intercourse, but no later than 21 years of age.
- Traditional Pap tests are less than 100% accurate in screening for cervical cell abnormalities, and false-positive and false-negative results do occur.
- Liquid-based techniques can reduce the number of inaccurate Pap tests results.
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