Screening question from FITZGERALD

Question 1

You see an 18-year-old woman with a history of C. trachomatis infection and a total of five male lifetime partners. You recommend:

A. Pap test only.

B. Pap test and HPV testing.

C. Pap test and STI testing.

D. STI testing only.

Answer 1

D

Question 2

120. During well-women visits for 21- to 29-year-old sexually active women who report more than one sex partner within the past 6 months, all of the following are appropriate screening tests except:

A. Pap test.

B. HPV testing.

C. pelvic examination.

D. STI screening.

Answer 2

B

Question 3

121. A 45-year-old woman just had a normal Pap test result and has an absence of high-risk HPV.

You recommend her next Pap test in:

A. 1 year.

B. 3 years.

C. 5 years.

D. 7 years.

Answer 3

C

Question 4

122. Which of the following is not part of the criteria for an older woman to cease having any future Pap tests performed?

A. older than 55 years of age

B. negative screening results on three consecutive cytology or two consecutive co-test results within 10 years

C. the most recent cytology occurring within the past 5 years

D. no history of cervical intraepithelial neoplasm (CIN) 2 or greater within the past 20 years

Answer 4

A

Question 5

123. You see a 48-year-old woman who underwent an abdominal hysterectomy with cervical removal for uterine fibroids 6 months ago. She last had a normal Pap test 11 ⁄2 years ago. You recommend her next Pap test:

A. immediately.

B. in 11 ⁄2 years.

C. in 31 ⁄2 years.

D. neither now nor in the future.

Answer 5

D

Question 6

124. You see a 24-year-old woman who received the HPV vaccine (three doses) as a teenager. She had a normal Pap test 3 years ago. You recommend:

A. conducting a Pap test.

B conducting a Pap test and HPV testing.

C. waiting 2 years for the next Pap test.

D. ceasing future Pap tests until she turns 30 years old.

Answer 6

A

Question 7

125. You see a 33-year-old woman whose Pap smear result reveals atypical cells of undetermined significance (ASC-US). She is also positive for HPV, with genotype testing revealing the presence of high-risk HPV. You recommend:

A. repeating the Pap test immediately.

B. repeating the Pap test in 3 to 4 months.

C. referral for colposcopy.

D. administering the HPV-9 vaccine.

Answer 7

C

Question 8

126. You see a 41-year-old woman whose Pap smear result reveals high-grade squamous intraepithelial lesion (HSIL). The test result for high-risk HPV is negative. You recommend:

A. repeating the Pap test in 3 to 4 months.

B. repeating the Pap test in 1 year.

C. referral for colposcopy.

D. referral for select lesion biopsy.

Answer 8

C