Week 11 750
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Questions and Answers

What is the recommended screening initiation age for cervical cancer?

  • 21 years (correct)
  • 25 years
  • 30 years
  • 18 years

    • Which of the following is NOT one of the three recommended screening options for individuals aged 30–65 years?

  • Cytology and hrHPV testing every 5 years
  • Co-testing every year (correct)
  • Cervical cytology alone every 3 years
  • Primary hrHPV testing every 5 years

    • What is the preferred cervical cancer screening option for average-risk individuals aged 25-65 years according to the updated guidelines?

  • Annual cytology with hrHPV testing
  • Primary hrHPV testing every 5 years (correct)
  • Cervical cytology alone every 3 years
  • Colposcopy every 3 years

    • What is a disadvantage associated with hrHPV-based screening tests?

    <p>Increased risk of colposcopies and false-positive results</p> Signup and view all the answers

    For which age group is cervical cytology alone the only recommended screening method?

    <p>Aged 21-29 years</p> Signup and view all the answers

    What has been a significant barrier to the uptake of primary hrHPV testing?

    <p>Limited availability of FDA-approved tests</p> Signup and view all the answers

    What do the organizations ACOG, ASCCP, and SGO continue to recommend regarding cervical cancer screening initiation despite other guidelines?

    <p>Initiating at age 21 years</p> Signup and view all the answers

    Which of the following statements about HPV Vaccination and screening initiation age is correct?

    <p>It prompts raising the screening initiation age to 25 years.</p> Signup and view all the answers

    What is the recommended frequency for cervical cytology screening for women aged 21 to 29 years?

    <p>Every 3 years</p> Signup and view all the answers

    Which of the following cervical cancer screening methods is NOT recommended for women aged 30 to 65 years?

    <p>Cervical cytology every year</p> Signup and view all the answers

    At what age does the USPSTF recommend starting colorectal cancer screening?

    <p>45 years</p> Signup and view all the answers

    For women with a personal or family history of breast cancer, what is a key requirement before BRCA1/2 testing is performed?

    <p>A brief familial risk assessment</p> Signup and view all the answers

    What is the frequency of fecal immunochemical tests (FIT) for colorectal cancer screening recommended for adults aged 45 to 75 years?

    <p>Every 2 years</p> Signup and view all the answers

    Which testing method is NOT part of the colorectal cancer screening options for adults aged 45 years and older?

    <p>Magnetic resonance imaging</p> Signup and view all the answers

    What is the combined frequency of screening recommended for cervical cytology and hrHPV testing co-testing for women aged 30 to 65 years?

    <p>Every 5 years</p> Signup and view all the answers

    What percentage of the general population is estimated to carry inherited mutations of the BRCA1/2 gene?

    <p>0.2% to 0.3%</p> Signup and view all the answers

    What is the recommended cervical cancer screening frequency for women aged 30 to 65 years using high-risk human papillomavirus (hrHPV) testing alone?

    <p>Every 5 years</p> Signup and view all the answers

    At what age does the USPSTF recommend that women start getting screened for breast cancer?

    <p>40 years old</p> Signup and view all the answers

    Which of the following groups does not require cervical cancer screening according to the recommendations?

    <p>Women younger than 21 years</p> Signup and view all the answers

    For women with dense breasts, what additional screening method requires further research according to recommendations?

    <p>Breast ultrasounds</p> Signup and view all the answers

    What is the USPSTF's screening recommendation for women older than 65 who have had adequate prior screening?

    <p>No screening necessary</p> Signup and view all the answers

    What is the primary purpose of periodic prostate-specific antigen (PSA)-based screening for men aged 55-69 years according to Grade C recommendations?

    <p>To make decisions based on individual choice</p> Signup and view all the answers

    Which of the following individuals is advised against routine breast cancer screening?

    <p>Women with a history of breast cancer</p> Signup and view all the answers

    Which statement about cervical cancer screening in women who have had a hysterectomy is accurate?

    <p>Screening is only needed if they've had a prior high-grade lesion</p> Signup and view all the answers

    What characteristic is typically seen with lesions caused by Condyloma Acuminatum?

    <p>Painless, wartlike lesions that soft and may cluster</p> Signup and view all the answers

    Which feature differentiates Molluscum Contagiosum from other genital lesions?

    <p>Dome-shaped papules with central umbilication</p> Signup and view all the answers

    What is a common characteristic of a syphilitic chancre?

    <p>Firm, round, painless ulcer with indurated borders</p> Signup and view all the answers

    How do genital herpes lesions typically present during an initial outbreak?

    <p>Extensive superficial vesicles that may erode</p> Signup and view all the answers

    What typical characteristic can be observed during the examination of a direct inguinal hernia?

    <p>It bulges anteriorly and pushes against the side of the finger.</p> Signup and view all the answers

    What is a primary subjective symptom associated with genital herpes?

    <p>Burning or pain during urination.</p> Signup and view all the answers

    What is true regarding lesions of secondary syphilis?

    <p>They typically present as flat, round papules with gray exudate</p> Signup and view all the answers

    What symptom is commonly associated with inflammation of the Bartholin gland?

    <p>Hot, red, tender swelling that may drain pus</p> Signup and view all the answers

    Which type of hernia is characterized by a nonreducible mass that indicates potential strangulation?

    <p>Strangulated hernia</p> Signup and view all the answers

    What distinctive feature is associated with a chancre in primary syphilis?

    <p>Firm, round, small lesion with indurated borders.</p> Signup and view all the answers

    Which factor is often seen in patients with Molluscum Contagiosum?

    <p>Sexually active individuals who may express a thick creamy core</p> Signup and view all the answers

    What typical examination finding would suggest a syphilitic chancre?

    <p>Painless genital ulcers with clear bases and firm borders</p> Signup and view all the answers

    What is a potential consequence if paraphimosis is left untreated?

    <p>Necrosis and gangrene of the glans penis.</p> Signup and view all the answers

    Which condition is associated with single or multiple papular lesions that can appear as cauliflower-like?

    <p>Condyloma acuminata</p> Signup and view all the answers

    Which infectious condition typically presents with systemic symptoms such as fever and malaise?

    <p>Lymphogranuloma venereum</p> Signup and view all the answers

    What is a common feature of an indirect inguinal hernia observed during a physical examination?

    <p>Bulge that is easily reducible once diagnosed.</p> Signup and view all the answers

    Which symptom is NOT typically associated with the presence of genital warts?

    <p>Firm, round, small lesions.</p> Signup and view all the answers

    What does the term 'Gravida' refer to in obstetric history?

    <p>Total number of pregnancies</p> Signup and view all the answers

    What is a critical health promotion recommendation during preconception counseling?

    <p>Taking folic acid prior to pregnancy</p> Signup and view all the answers

    At what age does the USPSTF recommend a woman to start getting Pap tests?

    <p>Age 21</p> Signup and view all the answers

    Which of the following conditions must be considered during preconception planning?

    <p>Chronic diseases such as diabetes</p> Signup and view all the answers

    What is the frequency of HPV testing recommended for women aged 30-65 years?

    <p>Every 5 years</p> Signup and view all the answers

    What does the 'A' or 'Ab' in obstetric history signify?

    <p>Number of abortions</p> Signup and view all the answers

    Which vaccine is not recommended during preconception planning?

    <p>Live vaccines</p> Signup and view all the answers

    How often should women aged 25-29 be screened for cervical cancer with Pap tests?

    <p>Every 3 years</p> Signup and view all the answers

    What is a common subjective symptom of Peyronie Disease?

    <p>Bending of the erection</p> Signup and view all the answers

    Which characteristic is most indicative of a Spermatocele?

    <p>Smooth, spherical, nontender mass</p> Signup and view all the answers

    Which screening strategy is associated with an increased risk of colposcopies in average-risk patients aged 25-65?

    <p>Primary hrHPV testing every 5 years</p> Signup and view all the answers

    What is a potential complication of untreated lymphatic drainage blockage in the case of infection?

    <p>Lymphedema of the scrotum</p> Signup and view all the answers

    What important factors are associated with the slow uptake of primary hrHPV testing?

    <p>Limited availability of FDA-approved tests</p> Signup and view all the answers

    In which condition would a patient present with a painless lesion on the penis that is pearly gray and umbilicated?

    <p>Molluscum Contagiosum</p> Signup and view all the answers

    Which of the following strategies does the American Cancer Society NOT currently advocate for phasing out?

    <p>Screening for women aged 21-29</p> Signup and view all the answers

    Which objective finding may indicate the presence of penile cancer?

    <p>Warty growth or deep ulceration</p> Signup and view all the answers

    At which ages is cervical cancer screening frequency considered unchanged for average-risk individuals?

    <p>21-29 and over 65</p> Signup and view all the answers

    How is a large varicocele typically described during examination?

    <p>Causing visible bulging of the scrotum</p> Signup and view all the answers

    Which statement regarding hrHPV tests is incorrect?

    <p>hrHPV tests are less effective than cytology for detecting high-grade lesions</p> Signup and view all the answers

    Which of the following symptoms is associated with Orchitis?

    <p>Acute onset testicular pain and swelling</p> Signup and view all the answers

    What do ACOG, ASCCP, and SGO believe about the initiation of cervical cancer screening in light of health equity concerns?

    <p>It should continue at age 21 years</p> Signup and view all the answers

    Which characteristic is typical of the lesions seen in Molluscum Contagiosum?

    <p>Pearly gray, umbilicated, and dome-shaped</p> Signup and view all the answers

    Which of the following may change according to the updated recommendations for cervical cancer screening due to HPV Vaccination?

    <p>The screening initiation age potentially raised to 25 years</p> Signup and view all the answers

    What is the recommended cervical cancer screening frequency using co-testing for women aged 30 to 65?

    <p>Every 5 years</p> Signup and view all the answers

    What characteristic of testicular cancer distinguishes it from other conditions?

    <p>It typically has a firm, irregular, nontender mass.</p> Signup and view all the answers

    Which symptom is least likely to be associated with epididymitis?

    <p>Irregular, nontender mass.</p> Signup and view all the answers

    Which of the following is a significant risk factor for testicular torsion?

    <p>Strenuous physical activity.</p> Signup and view all the answers

    What objective finding is characteristic of Klinefelter syndrome?

    <p>Hypogonadism with a small scrotum.</p> Signup and view all the answers

    What is the primary distinguishing feature of testicular torsion upon examination?

    <p>Absence of the cremasteric reflex.</p> Signup and view all the answers

    Which symptom could indicate an acute condition rather than a chronic one?

    <p>Acute onset of scrotal pain.</p> Signup and view all the answers

    What finding is commonly associated with the presence of hydrocele?

    <p>Transilluminates when present.</p> Signup and view all the answers

    Which of the following findings would be most suggestive of epididymo-orchitis?

    <p>Presence of a lumpy and tender epididymis.</p> Signup and view all the answers

    Study Notes

    Well-Woman Visit: Article 1

    • A comprehensive history is crucial for a well-woman visit, including symptoms, medications, allergies, medical, surgical, family, social, and gynecological history.
    • Questions about reproductive, sexual, and mental health should be included using appropriate screening tools.
    • Well-woman care visits should address bone health, vulvovaginal symptoms, and sexual health throughout a woman's lifespan.
    • Lifestyle factors like smoking, poor diet, and lack of physical activity negatively impact women's health including cardiovascular disease, type 2 diabetes, and various cancers.

    Well-Woman Visit: Article 2

    • Pelvic examinations are generally recommended when indicated by medical history or symptoms (e.g., cervical dysplasia, malignancy).
    • A pelvic examination is not routinely necessary for prescribing contraception (except for IUDs).
    • Evidence suggests that pelvic examinations in asymptomatic women do not decrease ovarian cancer morbidity and mortality.
    • Potential benefits include early detection of treatable conditions.
    • Screening harms may include reports of fear, anxiety, embarrassment, and pain (10% to 80% of women).

    Updated Cervical Cancer Screening Guidelines: Article 3

    • Screening should start at age 21, remaining unchanged for average-risk 21-29-year-olds and those over 65.
    • Three options for cervical cancer screening are now available for 30–65-year-olds: primary hrHPV testing every 5 years; cervical cytology alone every 3 years; or co-testing every 5 years.

    Utility of Routine Pelvic Examination

    • Traditionally, a pelvic exam is performed in asymptomatic women as a screening tool for gynecologic cancer, infection, and pelvic inflammatory disease.
    • ACOG recommends periodic pelvic exams when indicated by medical history or symptoms.
    • The decision to perform a pelvic exam should be a shared one between the patient and provider.
    • If not performed, a well-woman visit with a physician at least once yearly is still necessary for women.
    • Guidelines from the USPSTF indicate that sufficient evidence does not exist for the benefits of this routine screening procedure in women.

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    Women's Health: Well-Woman Visits & Cervical Cancer Screening PDF

    Description

    This quiz covers essential aspects of well-woman visits, emphasizing the importance of comprehensive medical history and health screenings. It addresses factors impacting women's health, including lifestyle choices and the role of pelvic examinations. Understanding these components is crucial for promoting women's health throughout their lives.

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