Screening - Cervical

Question 1

who gets screening?

Answer 1

all women age >25 q3y who are or have ever been sexually active

Question 2

what age has highest recommendation?

Answer 2

age 30-69

Question 3

pap smears for age >70?

Answer 3

if 3 normal tests in row and no abnormal tests in last 10 years, can discontinue screening

Question 4

if you get normal pap?

Answer 4

repeat in 3 years

Question 5

if inadequate sample?

Answer 5

repeat cytology in 3/12

Question 6

if adequate sample but no transitional zone?

Answer 6

repeat in 3 years

Question 7

ASCUS: abnormal squamous cells of unknown significance in women <30 or no HPV testing?

Answer 7

repeat cytology in 6/12 twice

if positive at either then colposcopy

Question 8

ASCUS: abnormal squamous cells of unknown significance in women >30?

Answer 8

HPV-DNA testing
if neg: repeat cytology in 12/12
if pos: colposcopy

Question 9

screening detects ASC-H? abnormal squamous cells cannot rule out HSIL

Answer 9

colposcopy

Question 10

screening detects AGUS - atypical glandular cells of unknown significance/atypical endocercial cells or endometrial cells?

Answer 10

colposcopy +/- endometrial sampling

Question 11

screening detects High grade squamous intraepithelial lesion HSIL?

Answer 11

colposcopy

Question 12

screening detects squamous carcinoma/other malignant changes?

Answer 12

colposcopy

Question 13

screening detects Low grade squamous intraepithelial lesion LSIL - 2 options

Answer 13

1. colpscopy immediately
2. repeat cytology in 6/12 x 2 times: if neg: again
   - if positive at any of the two then colposcopy

Question 14

prostate cancer screening?

Answer 14

PSA not recommended for any age group