pap results

Question 1

a 21yo with ascus on pap. next step

Answer 1

EITHER
do HPV testing*
or repeat pap in 1y

Question 2

same 21yo with ascus on pap and negative HPV testing. next step

Answer 2

repeat pap w/ hpv testing in 3y

Question 3

same 21yo with ascus on pap and positive HPV testing. next step

Answer 3

colposcopy w bx

Question 4

suppose you decided not to do hpv testing on this 21yo with ascus, and you just repeated the pap in 1y. what do you do if:
pap neg
pap pos

Answer 4

if negative, pap again 3y per usual

if positive, colposcopy w bx

Question 5

25yo, pap shows ASC-H. next step

Answer 5

coloscopy

Question 6

25yo, pap shows LSIL, next step

Answer 6

colposcopy w bx

Question 7

35 yo, pap shows LSIL, HPV negative, next step

Answer 7

repeat cytology in 1y

Question 8

35yo, pap shows LSIL, HPV positive, next step

Answer 8

colposcopy w bx

Question 9

pap shows HSIL, next step

Answer 9

colposcopy w bx (all age groups)

Question 10

what cancer does LSIL include

Answer 10

CIN I

Question 11

what cancer does HSIL include

Answer 11

CIN II, CIN III, CIS

Question 12

what do you do if the pap shows glandular cell abnormalities

Answer 12

colposcopy

Question 13

so you do the colposcopy and LSIL turns out to be CIN I. what is the mgmt

Answer 13

1) Observation, check again in 1y

2) Excision, LEEP or conization

Question 14

so you do the colposcopy and HSIL turns out to be CIN II or III. what is the mgmt

Answer 14

EXCISION AND ABLATION (Leep, Conization, Cautery)

Question 15

guardasil protects against what HPV strains

Answer 15

6, 11, 16 ,18