Pap Smear

Question 1

Why pap smear is done?

Answer 1

To screen for cervix CA (sensitivity 50%, specificity 86-100%)

Question 2

vaccination for HPV decreases the rate cervical ca by

Answer 2

70%

Question 3

Age for pap test?

Answer 3

21-65

Question 4

After how much time it should be repeated?

Answer 4

3 years

Question 5

Repeat HPV test after every ________

Answer 5

5 years

Question 6

Pap smear is CTD in?

Answer 6

menses

Question 7

What are the steps of taking pap smear?

Answer 7

1. Explain the procedure to patient
2. Consent
3. Check trolley
4. Ask patient to empty the bladder
5. Patient lies supine
6. Legs abducted and flexed
7. Sterilize the area and drape the patient
8. Lubricate the cusco/sims speculum
9. Take the sample from transitional zone by using Ayre’s spatula and rotate it clockwise
10. Remove the gloves
11. If bleeding or pain → give antibiotics and painkillers

Question 8

Examination of the smear

Answer 8

Nuclear to cytoplasmic ratio
Mitotic figures
Abnormal cells
All these dyskaryoses

Question 9

Explain the CIN

Answer 9

CIN I - Mild dyskaryoses (10-20% progress to CIN II/III)
CIN II - Moderate dyskaryoses (50%)
CIN III - Severe dyskaryoses
CIN IV - CA

Question 10

Age for vaccination

Answer 10

9-14 years