Chapter 36 Management of Diseases of the Cervix

Question 1

persistent oncogenic human papilloma virus infection significantly increases the risk of high-grade cervical intraepithelial neoplasia (CIN)

Answer 1

true

Question 2

luqid cytology screening is NOT more sensitive than conventional cytology and does not reduce the numbers of unsatisfactory pap smears

Answer 2

true

Question 3

positron emission tomography(PET) scanning is more sensitive than Magnetic resonance imaging (MRI) or computed tomography CT in

Answer 3

evaluation the metastatic spread of cervical cancer.

Question 4

in the absence of invasion, CIN is almost always asymptomatic; occasionally it is associated with __.

Answer 4

postcoital bleeding.

Question 5

cin 1 peaked among women aged 20-24

Answer 5

true

Question 6

cin 2-3 rates highest among those 25-29 years.

Answer 6

true

Question 7

cofactors for CIN are

Answer 7

cigarette smoking
hormonal effects of oral contraceptives and pregnancy
dietary deficiencies
immunosuppression
chronic inflammation.

Question 8

persistent oncogenic HPV infection significantly increases the risk of HG cervical intraepithelial neoplasia

Answer 8

true

Question 9

if positive for HPV 16 or 18 whent he pap is normal, proceed to

Answer 9

immediate colposcopy.

Question 10

after 3 consecutive negative cervical cytology screening tests in the prior decade: acog:

Answer 10

65-70

Question 11

HPV vaccination prevents persistent HPV infection, CIN, VAIN, and VIN.

Answer 11

true

Question 12

majority of all cervical lesions __% of cervical cancers are

Answer 12

70%, squamous cell carcinomas, whereas the next most common type of cervical cancer is cervical adenocarcinoma 25%.

Question 13

invasive cervical cancer, oncogenic high risk hpv infection is a necessary cause 99.7% of cervical cancer.

Answer 13

16 and 18 -> 70%. next two most prevalent oncogenic types are 45 and 31->10%