Smear tests

Question 1

Normal smear result?

Answer 1

Routine recall

Question 2

Inflammatory smear?

Answer 2

Repeat in 3 months

Question 3

Borderline smear?

Answer 3

Repeat in 6 months

Question 4

Mild dyskaryosis?

Answer 4

Repeat in 6 months.

Question 5

Moderate dyskarysosis?

Answer 5

Refer to colposcopy

Question 6

Severe dyskarysosis?

Answer 6

Refere to colposcopy

Question 7

Invasive

Answer 7

Urgent referral

Question 8

Age range for screening?

Answer 8

25 - 49 every 3 years

50 - 64 every 5 years.

Question 9

What happens at colposcopy?

Answer 9

Every patient gets a biopsy taken to confirm diagnosis of certain types of CIN.

Question 10

WHen is intervention done at colposcopy?

Answer 10

Only if CIN 2 or CIN 3

LLETZ or cold coagulation.

Question 11

Squamous cell carcinoma of the cervix is caused by what numbers of HPV?

Answer 11

16 and 18.

Question 12

Stage 1 to 4 cervical cancer?

Answer 12

1) confined to cervix
2) extends beyond the cervix into vagina but not into lower 1/3

3) Tumour invades lower 1/3 and/or extends to pelvis side wall.
4) Bladdwer, rectum or distant mets.

Question 13

Management of stage 2b - 4/

Answer 13

XRT +/- chemo