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Women's Health > Cervix > Flashcards

Cervix Flashcards

1
Q

What are you checking for during a cervix exam?

A 
cervix
-size/symmetry 
-shape
-color
-abnormalities 
OS
-size/shape
-squamocolumnar jxn
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2
Q

What is the squamocolumnar jxn?

A

the most common site of dysplasia

may or may not be visible

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3
Q

What is cervicitis?

A

inflammation of the cervix

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4
Q

What can cx cervicitis?

A 
chlamydia
gonorrhea
herpes
mycoplasma
ureaplasma
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5
Q

What is the sx/pe for cervicitis?

A

mucopurulent discharge at the cervix

friable

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6
Q

What tests for cervicitis?

A

wet mount - >10WBC/HPF

culture

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7
Q

How to tx cervicitis?

A

tx the STD

if no organism –> doxycyline 100mg PO BID x7days

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8
Q

What are benign cervical lesions?

A 
polyps
nabothian cysts
laceration 
myomas
cervical stenosis
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9
Q

What are polpys and how can they be treated?

A

fleshy lesions w/ STALK that is the SAME COLOR as the cervix

just remove - do not need to tx

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10
Q

What is nabothian cyst?

A

common
retention cyst in the squamous mucosa
single or cluster of nodules

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11
Q

Sx for nabothian cyst?

A

asymptomatic

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12
Q

Tx for nabothian cyst?

A

resolve on it’s own

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13
Q

How do lacerations happen?

A

d/t delivery and not tx’d then - will form a fish mouth appearance

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14
Q

What are myomas?

A

smooth firm mass

single fibroid

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15
Q

How to tx myomas?

A

excise if large b/c it causes sx

refer

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16
Q

Where does the cervical stenosis happen?

A

internal OS

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17
Q

Cx of cervical stenosis?

A

congenital or acquired

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18
Q

Sx of cervical stenosis?

A

asymptomatic
dysmenorrhea
infertility - difficulty getting pregnant b/c sperm cannot get in

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19
Q

Who are at risk for cervical stenosis?

A

post menopausal

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20
Q

Cervical stenosis - tx?

A

refer

21
Q

What is a cofactor of cervical cancer?

A

HPV-16,18

22
Q

Who are at RF for cervical cancer?

A 
never been screened or not screened w/in 5yrs
young age of sex
multiple sex partners
smoking
immunosuppression
AA
23
Q

What must you do to dx cervical cancer?

A

microscope to tell the diff between cancer and warts

24
Q

Tx of cervical cancer?

A

removal of cervix

25
Q

What is the prognosis of cervical cancer?

A

very good b/c it is a slow growing cancer

26
Q

What is HPV and cervical cancer?

A

cofactor necessary but not sufficient to cervical cancer

27
Q

How to dx HPV?

A

DNA testing

28
Q

How to tx HPV?

A

vaccine - prevent

viral - self limiting

29
Q

What can Gardasil prevent?

A

cervical, vulvar, vagina, throat, anal, penile

ONLY HPV 6, 11, 16, 18

30
Q

What is the scheduling for Gardasil?

A

0, 2, 6mo

31
Q

Who and what age can get Gardasil?

A

males and females: 9-26yo

32
Q

What is the pap smear?

A

screening test NOT diagnostic

33
Q

When to start screening for pap smear?

A

21yo

34
Q

When to do routine screening for pap smear?

A

if 3 neg screens in a row –> q3 yrs OR q5yrs w/ HPV co testing

35
Q

What is liquid based cytology?

A

slide to check the cells

36
Q

What is the broom technique?

A

rotate broom 5x –> rinse in vial 10x

37
Q

If pap smear is positive - next step?

A

colposcopy

38
Q

What is the diff between thin prep and slide pap smear?

A

nothing. same results

39
Q

When do you stop pap smears?

A

stop @ 65yrs OR hysterectomy

-3 neg OR 2 neg w/HPV co testing w/in 10yrs

40
Q

What to do someone is at high risk?

A

20yrs of screening despite passing 65yo

41
Q

What does the bethesda system include?

A 
specimen adequacy
negative for intraepithelial lesions/malignancy
SIL
Atypical squamous cells
atypical glandular cells
adenocarcinoma in situ
42
Q

What are the classifications for SIL?

A

LSIL - low grade

HSIL - high grade

43
Q

How to counsel for LSIL?

A

21-24yo - pos HPV –> pap smear q12mo x2yrs
>25yo - pos HPV –> refer (colpscopy + cervical bx + sample endocervical canal)
>25 - neg HPV –> q3yrs pap smear + HPV
postmenopausal - refer
pregnant - refer (colposcopy, bx if suspicious)

44
Q

How to counsel for HSIL?

A

IF CIN 3/invasive cancer –> colposcopy + bx

45
Q

What are the classifications for atypical squamous cells?

A

ASC-US

ASC-H

46
Q

How to counsel ASC-US?

A

21-24yo - pos HPV –> pap smear q12mo x2yrs
>25yo - pos HPV –> refer (colpscopy + cervical bx + sample endocervical canal)
>25 - neg HPV –> q3yrs pap smear + HPV
postmenopausal - refer
pregnant - same as above according to age
immunosuppressed - refer

47
Q

How to counsel ASC-H?

A

refer

48
Q

How to counsel atypical glandular cells?

A

refer

49
Q

What is colposcopy?

A

used for further studying for abnormal pap smear
binocular microscope + acetic acid solution used
cervical bx

Women's Health (10 decks)

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