Family Med SG1

Question 1

What does the USPSTF say about clinical breast exams?

Answer 1

Not enough evidence to assess the risks/benefits beyond the mammo starting at age 50

Question 2

What does the ACS say about clincal breast exams?

Answer 2

Should be done every 3 years for women in their 20s and 30s and every year for women over 40

Question 3

Cervical cancer screening guidelines

Answer 3

Pap every 3 years for women 21-29; Pap every 3 or Pap with HPV every 5 years for women 30-65

Question 4

Who are the women at higher risk for cervical cancer who need to be screened more freq than the recommended schedule?

Answer 4

Immunosupp, HIV pos, Hx of CIN2 or CIN3 or cancer, exposure to DES in utero

Question 5

When can you stop screening?

Answer 5

At age 65, if the woman has had a normal Pap in the last 10 years

Question 6

What is the effect of smoking on cervical cancer? Breast cancer? Endometrial?

Answer 6

increases cervical cancer, no impact on breast cancer, decreases endometrial

Question 7

What is the Bethesda system for reporting the cervical cytology for Pap smears?

Answer 7

First, they talk abou the adequacy of the sample (must have over 5000 squamous cells with sufficient endocervical cells); Second, they categorize the results into CIN or malignancy; Third, they interpret the results into ASCUS, LSIL, HSIL, or squam cell carcinoma

Question 8

What does Gardasil cover?

Answer 8

HPV strains 6,11 (warts), and 16, 18 (cancer)

Question 9

Who is the Gardasil shot approved for?

Answer 9

Women 9-26; They get 3 doses

Question 10

How does the Cervarix shot differ from Gardasil?

Answer 10

Women 10-25; Covers 16,18 (cancer) but also randos 31, 45