Cervical Disorders

Question 1

Nabothian Cyst si/sx/apperance

Answer 1

1. Asx

2. Translucent/yellow

Question 2

Nabothian cyst tx

Answer 2

Benign: Excision not required

Question 3

Cervical polyps presentation

Answer 3

Post-coital bleeding or abnormal uterine bleeding

Question 4

What does adequate sampling of the cervix require?

Answer 4

Endocervical sampling

Question 5

What are of the cervix is at an increased risk?

Answer 5

Transformation zone

Question 6

What cervical CA is HPV 16 more associated with?

Answer 6

Squamous cell carcinoma

Question 7

What cervical CA is HPV 18 more associated with?

Answer 7

Adenocarcinoma

Question 8

What is the most significant Risk factors for developing HPV infection?

Answer 8

Multiple sexual partners

Question 9

List the other Risk factors for developing HPV infection?

Answer 9

1. H/o STD’s
2. Early onset of sexual activity
3. H/o VIN or VAIN
4. Long-term OCP’s
5. Smoking
6. Immunosuppression

Question 10

What age do you start cervical cancer screening? Reasoning for this age?

Answer 10

Age 21 DESPITE sexual activity

Screening prior to 21 DOES NOT reduce rate of cervical cancer

Question 11

Cervical CA screening for women aged 21-29

Answer 11

Cytology (Pap smear) performance alone q 3 years

Do not perform HPV DNA testing

Question 12

Cervical CA screening for women aged 30-64

Answer 12

Cytology (+) HPV DNA testing q 5 years or

Cytology alone q 3 years

Question 13

Cervical CA screening for HIV positive women

Answer 13

Screened q 6 mos the year of diagnosis then q year

Question 14

Other high risk pt’s for cervical CA

Answer 14

Immunocompromised
Personal history of cervical cancer
History of CIN II/III
Exposure to diethylstilbestrol (DES)in utero