Cervical screening Flashcards
1
Q
Age and freq to screen
A
25-49yo- every 3 years
50-64yo- every 5 years
2
Q
Testing
A
- Test for HPV
if positive - Cytology
3
Q
If cytology +
A
- Refer to colp
4
Q
If cytology negative
A
- Recall in 12months
5
Q
Roles of hrHPV testing
A
- Primary screening test
- Triage of borderline and low grade cervical screening
- Test of cure post treatment for CIN
6
Q
Benefits of HPV as primary screening
A
- More sensitive than cytology
- Longer screening intervals
7
Q
Disadvantage of HPV as primary test
A
- Low specificity
8
Q
Benefit to triaging borderline/low grade abnormalities
A
- Higher prediction of high grade CIN
- More cost effective
- Avoids colp for 20% women
9
Q
Benefit of HPV testing in test of cure
A
- High negative predictive value
- Inc number who go back to routine recall
10
Q
Vaccinations for HPV
A
- All girls aged 12-13 in UK
11
Q
Viruses covered in the vaccines
A
- HPV 6/11/16/18
12
Q
Types of transformation zones
A
- Type 1- completely visible
- Type 2- visible on manipulation
- Type 3- Not visible
13
Q
Screening protocols
A
Add image
14
Q
Pathway for samples after colp
A
Add image
15
Q
CIN pathways
A
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