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Ambulatory Care of Women > Cervical Cytology > Flashcards

Cervical Cytology Flashcards

1
Q

Usual treatment for HPV positive results? x3

A
  1. recheck in year
  2. DNA 16/18 + colposcopy
  3. DNA 16/18 - recheck in a year
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2
Q

What to do anytime there is CIN 2,3?

A

excision or ablation of T zone and recheck in 12 and 24 months

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3
Q

Anytime there is HSIL?

A

LEEP, or if 21-24, wait 2 years and then leep

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4
Q

What to do if you have HPV and CIN 1?

A

Be aggressive after waiting two years?

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5
Q

What to do for cytology unsatisfactory for:

  1. HPV - or unknown
  2. HPV + and >30 years old
A
  1. repeat in 1 year

2. Colposcopy

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6
Q

Three options for ASC of unknown significance

A
  1. repeat in one year
  2. HPV + do coposcopy
  3. ASC same or increased do colposcopy
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7
Q

ASC of Unknown Significance?

A
  1. test HPV
  2. positive does colposcopy
  3. Negative tests in 3 years
    IN 21-24 year olds, just repeat cytology in 12 months
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8
Q

LSIL in women with 1. no HPV and 2. HPV?

A
  1. No HPV- cytology in 12 months

2. Yes HPV- colposcopy

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9
Q

Pregnant women with LSIL?

A

Go straight to colposcopy and only do intervention if CIN 2,3

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10
Q

Women with ASC- H? Atypical squamous cells, cannot exclude high grade SIL

A

All do colposcopy

21-24 get it every 6 months for 2 years

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11
Q

Women with HSIL? High grade squamous intraepithelial lesion

A

Immediate loop or colposcopy

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12
Q

What to do for women with atypical glandular cells?

A

Colposcopy and endometrial sampling

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13
Q

What to do for CIN 1 with minor preceded variants?

A

Recheck in 12 months

  1. Cytology neg and HPV neg, recheck 3 years
  2. Cytology or HPV positive, colposcopy
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14
Q

What to do with CIN 1 with HSIL preceding?

A

cytology 12 or 24 months
or LEEP
or if HPV +, do LEEP

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15
Q

Treatemnt CIN 2,3?

A
  1. diagnostic excisional procedure and then cytology 12 and 24 months
  2. If 21-24, recheck at 6 and 12 months and then do procedure if it doesn’t regress.
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16
Q

Women presents with unsatisfactory cytology. HPV is unknown. What do you do?

A

Repeat Cytology in 2-4 months

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17
Q

Women presents with unsatisfactory cytology. HPV is positive. What do you do?

A

Colposcopy

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18
Q

Woman is 21-29. Cytology is NILM. What do you do?

A

Routine screening

19
Q

Woman is 30. Cytology is NILM. What do you do?

A

HPV test or cytology and HPV test in 1 year.

20
Q

Woman is 30 and cytology is negative, but she is HPV positive. What do you do?

A
  1. repeat at one year

2. or DNA test HPV

21
Q

Woman is 30. Cytology is negative, but HPV is 16 or 18 positive. What do you do?

A

Colposcopy.

22
Q

Woman is 30. Cytology is negative, but HPV is 16 or 18 NEGATIVE. What do you do?

A

Costest in one year.

23
Q

Woman is 30. Her repeat cytology shows HPV continues, and/or more ASC. What do you do?

A

Colposcopy

24
Q

Woman is 30. Cytology comes back as ASC-US. What do you do?

A

Test for HPV. If negative, recheckk in 3 years. If positive, do colposcopy.

25
Q

A 21-24 year old comes in with ASC-US. What do you do?

A

Repeat cytology in 12 months. Orit comes back with ASC-H, AGC, or HSIL, do colposcopy.

26
Q

What to do with anyone who comes back with same or more ASC?

A

Colposcopy

27
Q

Woman cytology has LSIL with negative HPV test. What do you do?

A

Repeat cotesting.

28
Q

Woman presents with LSIL with no HPV or positive HPV test. What do you do?

A

Colposcopy.

29
Q

What to do with pregnant female with LSIL?

A

Colposcopy.

30
Q

When do you manage pregnant women with advance intervention? further than Colposcopy?

A

CIN 2, 3

31
Q

What to do with 30 year old with ASC-H? Regardless of HPV?

A

Colposcopy

32
Q

What to do with women who is 21-24 with ASC-H?

A

Colposcopy

33
Q

What to do with woman who is 21-24 who comes back with HSIL?

A

Colposcopy.

34
Q

Colposcopy comes back with no CIN2,3 for 21-24 year old. What do you do next?

A

Observe with colposcopy and cytology every 6 months for 2 years.

35
Q

What to do with 30 year old woman who as HSIL?

A

Leep or Colposcpy wo measure CIN 2,3

36
Q

What to do with all women who come back with positive AGC (atypical glandular cells) on cytology? x2

A

Colposcopy and endometrial sampling

37
Q

What to do with women with atypical glandular cells that initial cytology showed has no CIN, AIS, or cancer?

A

Cotest at 12 and 24 months with cytology and do colposcopy with any abnormality

38
Q

What to do with woman who’s cytology comes back at CIN 1 preceded by ‘lesser abnormalities’ (ASC-UC, LSIL, HPV)

A

Cotest in 12 months

39
Q

After co-testing a woman with CIN1 a year later, her cytology comes backs NEGATIVE for cytology and HPV. What do you do?

A

Retest in 3 years

40
Q

After co-testing a woman with CIN1 (With history of lesser abnormalities) a year later, her cytology comes backs POSITIVE for cytology or HPV. What do you do?

A

Colposcopy.

41
Q

Women comes back with CIN 1 preceded by ASC-H or HSIL. What o you do? x2

A

LEEP or

Co-test in 12 months

42
Q

Woman comes in with CIN 1 after ASC-US or LSIL. What do you do?

A

Repeat cytology in 12 months.

  • If same or greater ASC-H or HSIL, do colposcopy.
  • If negative, repeat in 12 months
43
Q

What to do with woman 30 years old with CIN 2 or CIN 3?

A

Excisional procedure and contest in 12 and 24 months.

Ambulatory Care of Women (8 decks)

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