Cervical Screening Flashcards

1
Q

At what age are women first invited for cervical screening?

A

24.5 years old

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2
Q

How often are women invited for screening between the ages of 25-65?

A

Every five years

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3
Q

What women are able to voluntarily withdraw from cervical screening?

A

Low risk for cervical cancer (e.g always been celibate)
Disability that makes taking sample difficult/distressing
Won’t benefit from screening (e.g terminally ill)
Unable to give adequate sample (e.g genital mutation)
Don’t want to participate

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4
Q

How are women with a negative smear result managed?

A

Recalled for smear in 5 years

Don’t need colposcopy referral

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5
Q

How are women with positive HPV on smear but negative cytology managed?

A

Recalled for smear in 12 months

Refer for colposcopy only if 3 consecutive positive samples

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6
Q

How are women with positive HPV and for low grade cytology on smear managed?

A

Seen within 8 weeks for colposcopy

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7
Q

How are women with positive HPV and for high grade cytology on smear managed?

A

Seen within 4 weeks for colposcopy

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8
Q

How are women with positive HPV and for glandular abnormality on smear managed?

A

Seen within 2 weeks for colposcopy

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9
Q

How are women with suspicion of invasion on smear managed?

A

Seen for colposcopy immediately (within 2 weeks)

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10
Q

What are some features of colposcopy?

A

Magnification, look at transformation zone, acetic acid and iodine staining, directed biopsy for tissue diagnosis

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11
Q

How is CIN managed?

A

CIN I = conservative management for 2 years

CIN II = offer treatment

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12
Q

How successful is LLETZ at treating CIN compared to cold coagulation?

A

Has 95% success rate

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13
Q

Why don’t women under the age of 40 receive cold coagulation?

A

It’s an ablative technique

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14
Q

How long does cold coagulation treatment last?

A

Two staged process = usually finished by 3 months

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