Pap Tests and Cultures

Question 1

28yo woman with a pap showing atypical squamous cells of undetermined significance and + HPV test. Next step?

Answer 1

Colposcopy. (OR repeat Pap and DNA at 6 and 12 mo and if -, return to normal screen)

If negative then pap in 3 years.

Question 2

Do patients with hysterectomy need a pap smear?

Answer 2

Only if they had cervical
cancer or high grade dysplasia.

*also of note pts age 65-70 can discontinue paps if they have had 2-3 negative paps

Question 3

What are the recommendations for cervical screening?

Answer 3

<21= Dont do
21-29= every 3 years
30-65= Pap + HPV every 5
65+= D/C if negative

Question 4

What are the steps in treating an abnormal pap smear?

Answer 4

1. Cytology shows Abnormal cells
2. HPV typing
3. Colopscopy with biopsy if high risk HPV is present
   4.

Question 5

What is acute salpingitis? What is the presentation?

Answer 5

PID caused by gonorrhea.

Yellowish discharge that exacerbates before and after menstruation.
Abdominal pain, CMT, adnexal tenderness.

Question 6

If a patient looks to have acquired an STI, what testing should you order?

Answer 6

A whole STI pannel. Not just for what looks to be presenting.

Question 7

Strawberry Cervicitis=?

Answer 7

Trich. Protozoan with flagella.

Question 8

Fishy Odor with KOH?

Answer 8

Bacterial Vag.

Question 9

Clue cells?

Answer 9

Bacterial Vag.

Question 10

Yeast with pseudohyphae?

Answer 10

Candida