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Abnormal Cervical Cytology

Mary L 17 questions

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Questions in this quiz (17)

  1. 1Women between the ages of 21-29 should be tested with [blank_start]cytology alone every 3 years[blank_end].
    Women between the ages of 30-65 should be tested with [blank_start]cytology + HPV cotesting every 5 years[blank_end] or [blank_start]cytology alone every 3 years.[blank_end]
    1. Acytology alone every 3 years
    2. Bcytology and HPV every 5 years
    3. Ccytology alone every 5 years
    4. Dcytology + HPV every 3 years
    5. Ecytology + HPV cotesting every 5 years
    6. Fcytology alone every 5 years
    7. Gcytology + HPV cotesting every 3 years
    8. Hcytology + HPV cotesting every 7 years
    9. Icytology alone every 3 years.
    10. Jcytology alone every 5 years
    11. Kcytology + HPV cotesting every 3 years
    12. Lcytology + HPV cotesting every 4 years.
  2. 2According to ASCCP guidelines, women no longer need to be screened for cervical cancer if they are >65 with ___________________ or they have had a total hysterectomy __________________________.
    1. Awith adequate screening history; for benign disease
    2. Bwith adequate screening and normal paps; for benign disease
    3. Cwith negative prior screening and no hx of CIN 2 or >; for benign disease and no hx of high grade CIN
    4. Dwith adequate screening hx; for benign disease and no hx of high grade CIN
  3. 3The following populations are not appropriate to screen according to standard ASCCP guidelines:
    1. Aw/ HIV
    2. Bwho are immunosuppressed
    3. Chx of colpo or LEEP
    4. Dexposed to DES in utero
    5. Epreviously treated for CIN 2, CIN 3, or cancer
    6. Fpreviously treated for CIN 1
  4. 4According to the Bethesda system, any of the following may result in an unsatisfactory pap specimen EXCEPT:
    1. AObscuring blood inflammation or other process
    2. Binsufficient squamous cells (< approx 5000)
    3. Cspecimen not labeled
    4. Dabsent or insufficient endocervical cells/transformation zone noted
  5. 5Actinomyces is a common finding for women with
    1. ABV
    2. BIUD
    3. CHPV
    4. DCancer
  6. 6If a client has an unsatisfactory cytology, and is HPV unknown or HPV neg (>30 yrs old), you should [blank_start]repeat cytology after 2-4 months[blank_end]. If result is HPV positive (age >30), you can either [blank_start]repeat cytology in 2-4 months[blank_end] or offer a coloposcopy.
    1. Arepeat cytology after 2-4 months
    2. Brecommend a colposcopy
    3. Crepeat cytology after 6 months
    4. Drepeat cytology immediately
    5. Erepeat cytology in 2-4 months
    6. Frepeat cytology immediately
    7. Grepeat after 6 months
    8. Hoffer a LEEP
  7. 7If a client's cytology is NILM, but EC/TZ is absent/insufficient: If the client is age 21-29 or HPV neg, you can [blank_start]follow routine screening[blank_end]. If the client is >30 and HPV is unknown, [blank_start]HPV testing[blank_end] is preferred, but [blank_start]repeat cytology in 3 yrs[blank_end] is acceptable. If the client is >30 and HPV positive, you can [blank_start]repeat cyto and HPV test in 1 yr[blank_end] or perform [blank_start]genotyping[blank_end]
    1. Afollow routine screening
    2. Brepeat cytology immediately
    3. Crepeat cytology in 2-4 months
    4. Drepeat cytology in 1 year
    5. EHPV testing
    6. Frepeat cytology immediately
    7. Grepeat cytology in 1 year
    8. Hrepeat cytology in 3 years
    9. Irepeat cytology in 3 yrs
    10. Jrepeat cytology in 1 year
    11. Krepeat cytology immediately
    12. LHPV
    13. Mrepeat cytology and HPV testing in 1 yr
    14. Nrepeat cytology alone in 1 year
    15. Orecommend colpo
    16. Prepeat cytology & HPV in 5 years
    17. Qgenotyping
    18. Rcolposcopy
    19. SLEEP
  8. 8Ages 21-24 with either ASCUS or LSIL: it is preferred to [blank_start]repeat cytology in 12 months[blank_end], but acceptable to [blank_start]perform reflex HPV testing[blank_end].
    1. Arepeat cytology in 12 months
    2. Bperform reflex HPV testing
    3. Crepeat cytology and HPV in 12 months
    4. Drecommend colpo
    5. Eperform reflex HPV test for ASCUS only
    6. Fperform reflex HPV testing for LSIL only
    7. Gperform reflex HPV for ASCUS or LSIL
    8. Hrecommend colpo
  9. 9If a woman's results indicate Atypical Squamous Cells, Cannot exclude High-grade Squamous Intraepithelial Lesion (ASC-H), you recommend
    1. AHPV cotesting
    2. Bcolpo, if HPV +
    3. Ccolpo, regardless of HPV status
    4. DLEEP
  10. 10A 23 yo woman has a pap result of HSIL and a colpo negative for CIN 2, 3. Repeat paps done every 6 months in the following 24 months a continue to show HSIL, though repeat colpos do not identify CIN 2, 3. You recommend:
    1. ALEEP or other diagnostic excisional procedure
    2. Bcontinued monitoring with colpo and cytology at 6 month intervals
    3. Croutine screening

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Description
abnormal cervical cytology quiz
Author
Mary L
Language
English
Views
338
Tags
midwiferypap resultswomen's healthhealth care of womencnm
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