Cervix Flashcards

1
Q

what pathology changes are seen to the cervix when infected with HPV

A

koilocytosis

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2
Q

which types of hpv cause cervical cancer

A

16 and 18

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3
Q

what is CIN

A

preinvasive cervical cancer of the transformation zone

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4
Q

what is the main cancer of the ectocervix

A

squamous cancer

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5
Q

what is the main cancer of the endocervix

A

adeoncarcinoma

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6
Q

what is the screening test for cervical cancer

A

smear

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7
Q

when does cervical screening start

A

age 25

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8
Q

how often are women screened

A

Age 25–49 years — screening every 3 years.

Age 50–64 years — screening every 5 years.

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9
Q

A cervical sample should not be taken (unless you think the woman will not re-attend), if the woman:

A

Is menstruating.
Is less than 12 weeks postnatal.
Is less 12 weeks after a termination of pregnancy, or miscarriage.
Has a vaginal discharge or pelvic infection — treat the infection and take the sample on another occasion.

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10
Q

if abnormal smear, patients are referred for

A

colposcopy

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11
Q

what are the two stains used in colposcopy

A

acetowhite

iodine

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12
Q

in acetowhite, normal cells are

A

non staining

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13
Q

with iodine, normal cells

A

stain brown

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14
Q

white cells in acetowhite

A

are abnormal cells

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15
Q

non staining cells with iodine

A

are abnormal

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16
Q

after colposcopy and staining, what happens

A

punch biopsy

17
Q

how do you stage cervical cancer

A

FIGO staging

18
Q

how do you treat cervical cancer

A

LLETZ or surgery chemo radio

19
Q

what is CIN 1

A

1/3 thickness of cervical epithelium affected

20
Q

what is CIN 2

A

2/3 thickness of cervical epithelium affected

21
Q

what is CIN 3

A

full thickness epithelium affected

22
Q

When do women get screened for cervical cancer

A

Every three years from aged 25-64