exam 5 lecture 2 part 2 Flashcards
cervical cancer screening recommendations based on age and history
less than 21- no screening
21-29- Pap smear every 3 years
30-65- Pap every 3 years
HPV every five
PAP+HPV every 5 years
greater than 65 or hysterectomy= no screening
Which HPV causes cancer?
which HPV causes warts?
HPV-16 and 18 cause cancer
HPV- 6 and 11 cause warts
what percent of cervical cancer is caused by HPV? Vaginal? Penile?
anal?`
91%- cervical
75%- vaginal
63%- penile
89%- anal
Which HPV vaccine protects against 9 different types
Gardasil 9
how many doses of HPV if age is 9-14 at initial vaccination
2 doses
0, 6-12 months months (minimum is 5 months. repeat dose if too soon)
how many doses of HPV vaccine if 15 or older
3 dose series (0, 1-2 months, 6 months)
minimum intervals of HPV vaccine at age 15 or older
dose 1 to dose 2=4 weeks
dose 2 to dose 3= 12 weeks
dose 1 to dose 3= 5 months
what age can you start vaccinating for HPV
9
true or false
HPV vaccination at ages 11-12 could prevent 90% of the cancers (anus, vulva, penis)
True
Name 2 behavioral methods of contraception
Coitus inturruptus
Lactation amenorrhea meyhod
When can LAM method work
1.breast feeding
2.infant is 6 months old
3. no period
Name some FAM and NFP methods and effectiveness
Predicting ovulation
cervical mucus
3-22%
FAM and NFP advantages
No effect on hormone/cycle
no side effects
inexpensive or free
FAM and NFP disadvantages
3-22% failure rate
no STI protection
difficult if irregular menses
requires consistent accurate record keeping
requires abstinence of other contraception for 1/3 of the month
is copper IUD hormonal?
No
how long do copper IUDs last
10 yrs
fertility return of copper IUD
immediate
Rank implants, diaphragms, condoms, shots, pills and FAM interms of efficacy
implant
shots
pill
diaphragm
condom
FAM
side effects of HPV vaccine
local rxn/pain
redness
pyrexia
complete regional pain syndrome
postural orthostatic tachycardia syndroma
erythema
