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N781 > ASCCP Protocols > Flashcards

ASCCP Protocols Flashcards

1
Q

Unsatisfactory Cytology (any age)

A

repeat cytology in 2-4 months. can do colpo if >30 years old and HPV+

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2
Q

Cytology NILM but EC/TZ absent or insufficient, ages 21-29, any HPV status

A

routine screening

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3
Q

Cytology NILM but EC/TZ absent of insufficient, ages 30+, HPV unknown

A

HPV testing (preferred) OR repeat cytology in 3 years (acceptable)

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4
Q

Cytology NILM but EC/TZ absent of insufficient, ages 30+, HPV+

A

cytology and HPV in one year or genotyping

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5
Q

Cytology NILM but EC/TZ absent of insufficient, ages 30+, HPV-

A

routine screening

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6
Q

cytology negative but >30 and HPV+

A

repeat cotesting in one year or HPV DNA testing

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7
Q

ASCUS ages 21-24, HPV unknown

A

repeat cytology in one year or HPV testing

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8
Q

ASCUS ages 21-24, HPV-

A

routine screening

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9
Q

ASCUS ages 21-24 HPV+

A

repeat cytology in 12 months

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10
Q

ASCUS ages 25+ HPV unknown

A

repeat cytology in 1 year (acceptable) or HPV testing (preferred)

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11
Q

ASCUS ages 25+ HPV+

A

colpo

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12
Q

ASCUS ages 25+ HPV-

A

repeat cotesting in 3 years

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13
Q

LSIL ages 21-24

A

repeat cytology in 12 months, unless known HPV- then routine screening

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14
Q

LSIL ages 25+ HPV unknown or +

A

colpo

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15
Q

LSIL ages 25+ HPV-

A

repeat cotesting in 1 year or colpo (acceptable)

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16
Q

ASC-H

A

any age and any HPV status= colpo

17
Q

AGC with atypical endometrial cells

A

endometrial and endocervical sampling

18
Q

AGC other subcategories

A

colpo with endocervical sampling and endometiral sampling if >30

19
Q

no lesion, or biopsy confirmed CIN1 preceded by lessor abnormalities, ages 21-24

A

repeat cytology in 12 months

20
Q

no lesion, or biopsy confirmed CIN1 preceded by ASC-H or HSIL, ages 21-24, colpo adequate:

A

diagnostic excision procedure OR observation with colpo at 6mos and 1 yr

21
Q

no lesion, or biopsy confirmed CIN1 preceded by ASC-H or HSIL, ages 25+

A

cotesting at 12 and 24 months or diagnostic excision procedure

22
Q

no lesion, or biopsy confirmed CIN1 preceded by lessor abnormalities ages 25+

A

repeat cotesting at 12 months

23
Q

biopsy confirmed CIN2 and CIN3 ages 21-24

A

CIN2- observation with colpo and cytology at 6 months and one year
CIN3 excision or ablation of T zone

24
Q

biopsy confirmed CIN2 and CIN3 ages 25+

A

colpo adequate: excision/ablation of TZ

colpo inadequate: diagnostic excisional procedure

25
Q

AIS diagnosis

A

hysterectomy preferred

26
Q

no lesion, or biopsy confirmed CIN1 preceded by ASC-H or HSIL, ages 21-24, colpo inadequate:

A

diagnostic excision procedure

N781 (2 decks)

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