Podcast
Questions and Answers
A 24-year-old woman is due for cervical cancer screening. According to current guidelines, which of the following is the most appropriate screening strategy?
A 24-year-old woman is due for cervical cancer screening. According to current guidelines, which of the following is the most appropriate screening strategy?
- Pap test alone, repeated every 3 years. (correct)
- HPV test alone, repeated every 5 years if negative.
- HPV test alone, repeated every 3 years if negative.
- Co-testing with HPV and Pap test, repeated every 5 years if both are negative.
A 35-year-old woman undergoing routine cervical cancer screening has a negative Pap test but a positive high-risk HPV test. What is the most appropriate next step in management?
A 35-year-old woman undergoing routine cervical cancer screening has a negative Pap test but a positive high-risk HPV test. What is the most appropriate next step in management?
- Repeat co-testing (Pap and HPV) in 5 years.
- Perform a colposcopy with possible biopsy. (correct)
- Administer the HPV vaccine.
- Repeat HPV testing in 12 months.
The HPV vaccine is most effective when administered:
The HPV vaccine is most effective when administered:
- After an individual becomes sexually active and has potentially been exposed to HPV.
- To treat existing HPV infections.
- To individuals presenting with genital warts.
- Before the onset of sexual activity and potential exposure to HPV. (correct)
A 40-year-old woman has been consistently undergoing cervical cancer screening with normal results. She asks if she can discontinue screening now. Which of the following most accurately reflects current guidelines?
A 40-year-old woman has been consistently undergoing cervical cancer screening with normal results. She asks if she can discontinue screening now. Which of the following most accurately reflects current guidelines?
Which of the following is the primary purpose of cervical cancer screening?
Which of the following is the primary purpose of cervical cancer screening?
What is the MOST critical factor in determining the appropriate interval for cervical cancer screening?
What is the MOST critical factor in determining the appropriate interval for cervical cancer screening?
Which of the following represents an established risk factor for the development of cervical cancer?
Which of the following represents an established risk factor for the development of cervical cancer?
A patient presents with visible genital warts. Besides treatment of the warts, which additional diagnostic step is MOST important?
A patient presents with visible genital warts. Besides treatment of the warts, which additional diagnostic step is MOST important?
Which treatment modality involves the application of a chemical agent to destroy cells affected by genital warts?
Which treatment modality involves the application of a chemical agent to destroy cells affected by genital warts?
A patient diagnosed with a low-grade cervical abnormality on Pap test is co-infected with HIV. How does this typically influence the management approach?
A patient diagnosed with a low-grade cervical abnormality on Pap test is co-infected with HIV. How does this typically influence the management approach?
What is the primary mechanism by which the HPV vaccine prevents cervical cancer?
What is the primary mechanism by which the HPV vaccine prevents cervical cancer?
Which of the following factors is LEAST likely to influence the progression of an HPV infection to cervical cancer?
Which of the following factors is LEAST likely to influence the progression of an HPV infection to cervical cancer?
A woman reports having the HPV vaccine at age 28. How does this impact her cervical cancer screening recommendations?
A woman reports having the HPV vaccine at age 28. How does this impact her cervical cancer screening recommendations?
What is the rationale behind using liquid-based cytology in Pap tests?
What is the rationale behind using liquid-based cytology in Pap tests?
What is the MOST common initial symptom if a patient has cervical cancer?
What is the MOST common initial symptom if a patient has cervical cancer?
Which population below has the HIGHEST risk for cervical cancer?
Which population below has the HIGHEST risk for cervical cancer?
For women that are 30-65, which option is not a screening option for cervical cancer?
For women that are 30-65, which option is not a screening option for cervical cancer?
Which of the treatment options is not appropriate for treating "genital warts?"
Which of the treatment options is not appropriate for treating "genital warts?"
What is the MOST common cause of cervical cancer?
What is the MOST common cause of cervical cancer?
How often should a Pap test be done if the results are normal?
How often should a Pap test be done if the results are normal?
Flashcards
What is a Pap Smear?
What is a Pap Smear?
The process where cells are scraped from the cervix and examined under a microscope to check for diseases or other problems.
Cervical Screening
Cervical Screening
A screening method similar to a Pap smear that specifically looks for Human Papilloma Virus (HPV) infection, the #1 cause of cervical cancer.
Cervical screening guidelines for women aged 21-29
Cervical screening guidelines for women aged 21-29
Women aged 21-29 should have a Pap test alone every 3 years, while HPV testing is not recommended.
Cervical screening guidelines for women aged 30-65
Cervical screening guidelines for women aged 30-65
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HPV Vaccine
HPV Vaccine
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HPV vaccination age recommendations
HPV vaccination age recommendations
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HPV vaccine FDA
HPV vaccine FDA
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HPV vaccine limitations
HPV vaccine limitations
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Chondyloma
Chondyloma
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Genital warts management
Genital warts management
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Study Notes
- Cervical Screening/HPV by Kaneez R. Odgers DNP, FNP-BC
Pap Smear
- Cells are scraped from the cervix and examined under a microscope for disease or other problems.
- The cervix is viewed through a speculum with the patient in lithotomy position.
- A Pap smear is also referred to as a PAP test.
Cervical Screening
- A Cervical Screening is similar to a PAP smear
- It specifically screens for Human Papilloma Virus (HPV) infection.
- HPV is the number one cause of cervical cancer.
Cervical Screening Guidelines
- Women aged 21-29 should have a Pap test alone every 3 years
- HPV testing is not recommended for this age group
- Women aged 30-65 have the following options:
- Pap test only with a normal result allowing a 3 year wait.
- HPV test only with a normal result allowing a 5 year wait.
- HPV and Pap test (preferred) with a normal result allowing a 5 year wait.
HPV Vaccine
- It protects against the types of HPV that most often cause cervical cancers.
- HPV can also cause other kinds of cancer in both men and women.
- HPV vaccination is recommended for individuals aged 11-26 years who have not been previously vaccinated.
- It can be given as early as 9 years old.
- In 2018, the FDA approved the vaccine for women and men up to age 45.
- Many adults have been exposed to some strains of HPV; however, most have not been exposed to all nine types covered by the vaccine.
- The HPV vaccine does not treat existing infections or diseases.
- Screening should be continued even if a person is vaccinated.
Chondyloma (HPV)
- Also referred to as "Genital Warts"
- May require biopsy to rule out (r/o) dysplasia or carcinoma.
- May require testing for other concurrent STI's.
Treatment
- Podofilox gel 0.5%
- TCA (Trichloroacetic acid)
- Cryotherapy
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