LECTURE 7 (Pap test)

Question 1

What is the Cervical smear test/Pap test?

Answer 1

A test in which a specimen of cellular material is scraped from the cervix and is then stained and examined under a microscope by a cytologist to identify early cellular changes

Question 2

What is the purpose of a Pap smear?

Answer 2

To detect early cancer of cervix

Explanation: It collects squamous epithelial cells + some endocervical cells from the transformation zone of the cervix

Question 3

When is the ideal time for obtaining a cervical smear?

Answer 3

Midcycle

Explanation: prevents contamination from menstrual flow and allows for accuracy of results

Question 4

What are the indications for a Pap test?

Answer 4

• Women between 25 and 64
• Start within 1 year of onset sexual activity

Question 5

What are the contraindications for a Pap test?

Answer 5

• During pregnancy
• Immediately postpartum

Question 6

What is a vaginal speculum?

Answer 6

An instrument used during gynaecological examination to facilitate the visualisation of the vagina and cervix

TWO TYPES:
virgin and non-virgin

Question 7

What should the doctor document about the patient?

Answer 7

• Date of last menstruation
• Any abnormal bleeding
• Any unusual vaginal discharge
• Contraception
• Date of last cervical smear
• Any abnormal smear results
• Any treatment to the cervix

Question 8

What must happen post-procedure?

Answer 8

• Observe any discharge from vagina
• Perineal care is needed
• Assist patient to change from lithotomy position to supine position
• Documentation
• Send specimen to lab with form