Cervical/HPV CPC

Question 1

T/F most HPV infections are cleared by immune response within 6-12 months to 3 years

Answer 1

T

Question 2

Borderline or atypical abnormalities on pap smear that do not fit into normal, lsil, hsil, or cancer categories.

Answer 2

ASC US –> atypical squamous cells of undetermined significance

Question 3

____ testing is done for ASC US patients for high risk HPV types because of unreproducible diagnoses and high cost of treatment

Answer 3

reflex testing

Question 4

cotest

Answer 4

order pap smear and hpv test for high risk strains –> women > 30 years old

Question 5

A cotest should be conducted every ___ years

Answer 5

5

Question 6

Cotest increases detection of prevalent CIN____

Answer 6

3

Question 7

T/F HPV cotesting is better than cytology alone

Answer 7

T –> increase time span between tests, reduce colposcopies, enhances id of adenocarcinomas

Question 8

The majority of precancerous lesions arise at or near the _____ where squamous metaplasia occurs.

Answer 8

transofmation zone/squamocolumnar junction

Question 9

Tx of cervical cancer

Answer 9

ablative: cryotherapy and carbon dioxide laser, excisional: loop electrosurgical excision and cold knife cone

Question 10

T/F HPV Vaccine is therapeutic

Answer 10

F