cervical screening

Question 1

who is offered screening

Answer 1

25-64yrs

25-49yrs 3yrly screening

50-64yrs 5yrly screening

Question 2

what happens in pregnancy

Answer 2

screening delayed until 3mo post partum

unless missed screening or prev abnormal smears

Question 3

HPV first system

Answer 3

sample tested for high risk strains of HPV first

cytological examination is only performed if this is positive

Question 4

negative HrHPV

Answer 4

return to normal rcall

Question 5

positive hrHPV

Answer 5

samples examined cytologically

Question 6

cytologogy abnormal

Answer 6

colposcopy

Question 7

hrHPV positive and cytology normal

Answer 7

test repeated 12mo

Question 8

hrHPV positive and cytology normal - repeat test now hrHPV negative

Answer 8

return to normal recall

Question 9

hrHPV positive and cytology normal - repear test still hrHPV+ and cytology normal

Answer 9

further repeat test 12mo

Question 10

hrHPV positive and cytology normal - hrHPV negative at 24mo

Answer 10

return to normal recall

Question 11

hrHPV positive and cytology normal - HrHPV positive at 24mo

Answer 11

colposcopy

Question 12

inadequate sample

Answer 12

repeat sample within 3mo

if 2 consecutive inadequate samples –>colposcopy

Question 13

Mx CIN

Answer 13

large loop excision of transformation zone