PAP

Question 1

• Not so abnormal as to be precancerous, but more than just inflamed. (the “IDK” category)
• 21-24yrs repat in one year
• 25+ HPV test. If + GYN for colposcopy, if – repeat combined test at 3yrs

Answer 1

ASC-US

Atypical squamous cells of undetermined significance

Question 2

Looks abnormal, but can’t say for sure if it’s high grade

Colposcopy

Answer 2

ASC-H

Atypical squamous cells favoring high grade lesion

Question 3

Atypical cells
-Increases risk for malignancy
Colposcopy and biopsy

Answer 3

Atypical Granular Cells

Question 4

Coresponds to advanced lesion

Precurser to adenocarcinoma

Answer 4

Adenocarcinoma in situ

Question 5

Abnormal cells with increased CA risk
•21-24yrs repeat in 1yr.
25-29 refer for colposcopy. 30+ if HPV- repeat 1yr. HPV+ = colposcopy

Answer 5

LGSIL (low grade squamous intraepithelial lesion)

Question 6

Abnormal cells with increased CA risk
21-24yrs: colposcopy.
25+: Colposcopy or LEEP

Answer 6

HGSIL

High Grade squamous intraepithelial lesion