Pap smear and STI lecture Powerpoint

Question 1

Endocervix

Answer 1

Side of cervix that faces inward toward the uterus made of columnar cells

Question 2

Ectocervix

Answer 2

Side of uterus that faces outward toward the vagina made of squamous cells

Question 3

Henrietta lacks

Answer 3

Poor black woman died of cervical cancer in 1951, before death samples of her cells were taken without her permission, her cells are immortal and continue to reproduce, most widely used cell line in the world, controversial

Question 4

CIN and SIL

Answer 4

Cervical intraepithelial neoplasia and squamous intraepithelial lesion

Question 5

5 p’s before a pap smear

Answer 5

Partners past and present
Pregnancy and if intentional or not
Protection properly and all the time
Practices of sex oral, vaginal, anal, etc
Past history relevant to this

Question 6

The minimum age of when pap smear screeing should occur….when do you screen for a bimanual exam?

Answer 6

21, no screening is evidenced to be helpful

Question 7

Cyanotic cervix is consistent with…

Answer 7

….pregnancy

Question 8

Blue cervix is called….

Answer 8

…chadwick’s sign

Question 9

Nabothian cyst

Answer 9

Small growth on the cervix that is harmless and goes away on its own

Question 10

LEEP

Answer 10

Cutting out portion of cervix containing suspected malignancy, can lead to scarring and incompetent cervix, last course of action compared to colpo biopsy

Question 11

Any woman over 40 who has increased bleeding pattern needs….

Answer 11

biopsy for possible cancer

Question 12

Between ages 40-50, what dicates breast exam frequency

Answer 12

Risk factors

Question 13

Between ages 50-74 , what dictates breast exam frequency?

Answer 13

Biennial or optional annual

Question 14

Greater than age 75, what dictates breast exam frequency?

Answer 14

It is not recommended

Question 15

Gonorrhea is listed as….

Answer 15

one of the top 10 public health threats by the CDC

Question 16

Dirty catch

Answer 16

Used in gonorrhea or chlamydia testing because it gets the specimen in the cup for DNA amplification

Question 17

Herpes vs syphilis

Answer 17

Painful vs painless

Question 18

Chancroid 1st line of treatment

Answer 18

Azithromycin

Question 19

Granuloma inguinalej

Answer 19

Caused by klebsiella granulomatis that gives painless red ulcers in the inguinal nodes

Question 20

Herpes simplex virus first line of treatment

Answer 20

Acyclovir

Question 21

Tzanck smear

Answer 21

A not very specific or sensitive stain for herpes family diseases that presetnts with large multinucleated giant cells

Question 22

LGV

Answer 22

Caused by chlamydia trachomatis, causes lesions, buboes, and a groove sign (separation of nodes by inguinal ligament)

Question 23

Hutchinson’s triad for syphilis

Answer 23

Notched incisors, keratitis, deafness

Question 24

2 key symptoms of neurosyphilis

Answer 24

Tabes dorsalis (foot slap)
Argyll robertson pupil (normal accommodation but no reaction to light)

Question 25

2 diagnostics for syphilis

Answer 25

• RPR

- Trepomenal ELISA or abs test

Question 26

Syphilis treatment, possible bad reaction to treatment

Answer 26

PCN injection, Jarisch herxheimer reaction

Question 27

2 most common causes of cervicitis

Answer 27

Chlamydia and gonorrhea

Question 28

Most reported bacterial infection STI in US

Answer 28

Chlamydia

Question 29

Leading cuase of infertility in US

Answer 29

Chlamydial infection

Question 30

Gonorrhea always requires….

Answer 30

2 antibiotics

Question 31

Most common STI in the world

Answer 31

HPV

Question 32

Condyloma lata

Answer 32

Highly infectious syphilis

Question 33

Condylomaj acuminate

Answer 33

HPV warts

Question 34

Verruca

Answer 34

Body warts

Question 35

Pearly penile papules

Answer 35

Non infectious development