cervical cancer screening

Question 1

HPV infxn typically clears in

Answer 1

6-12 mo

Question 2

CIN 2,3 typically takes __ yrs to turn into invasive CA

Answer 2

10-13 yrs?

Question 3

major contributing factor to most cervical CA deaths..

Answer 3

being rarely or never screened

Question 4

4 at risk groups for lack of cervical screens

Answer 4

1. minorities
2. low SES
3. foreign born (less than 10 yr in US)
4. no usual health care

Question 5

cervical cancer in the world is the ___ most common and __ most deadly CA

Answer 5

4th most common and deadly worldwide

Question 6

when columnar cells from uterus merge with squamous cells on cervix

Answer 6

ectropion

aka transformation zone

Question 7

what could ectropian be result of?

Answer 7

taking OCP

this is a variant of normal

Question 8

never given birth vaginally

Answer 8

nulliparous

Question 9

has had 1+ kids vaginally

Answer 9

multiparous

Question 10

RF for cervical CA

Answer 10

Under 20 first sex experience 
multiple partners  
young at first preg 
high parity  
low SES 
Smoker

Question 11

gravidity

Answer 11

number times women has been pregant

Question 12

parity

Answer 12

number of pregnancies carried full term

Question 13

a pap smear is less sensitive for___

Answer 13

glandular neoplasia OR

adenocarcinoma of the cervix

Question 14

HPV strain __ and __ responsible for 70+% of cervical cancer

Answer 14

16 and 18

Question 15

hpv 6 and 11

Answer 15

genital warts

Question 16

HPV persistenet over ___ yrs = cancer

Answer 16

5 .. higher risk for ca development

Question 17

4 screen rules for HPV

Answer 17

1. no one under 21
2. 21-29 pap q3yrs
3. 30+ pap tst plus HPV q5yrs
4. no screen after age 65, with at least 3 consecutive - pap tests or with a pap in last 10 yrs

Question 18

unsatisfactory pap

Answer 18

no endocervical component

Question 19

atypical squamous cells

Answer 19

ASC-US

Question 20

low grade squamous intraepithelial lesions

Answer 20

LGSIL

Question 21

ascus cannot exclude a high grade lesion

Answer 21

ASC-H

Question 22

high grade squamous intraepithelial lesion

Answer 22

HGSIL or HSIL

Question 23

atypical glandular cell

Answer 23

AG

Question 24

carcinoma in situ

Answer 24

CIS

Question 25

cotesting

Answer 25

testing for HPV only or for the high riks 16 and 18

Question 26

cervical intraepithelial neoplasia

Answer 26

CIN

Question 27

if unsatisfactory pap...

Answer 27

repeat cytology in 2-4mo if contesting is HPV + test agin in 2-4mo if cotest shows 16,18 = colposcopy if pap 2x unsat, then colposcopy

Question 28

colposcopy

Answer 28

microscopic thing to look at vagina and cervix

Question 29

__ is the most common and most benign form of cervical intraepithial neoplasia spontaneously

Answer 29

CIN I usually resolves in 2 yrs

Question 30

how tx CIN I lesion

Answer 30

LEEP, cryosurgery, cone biopsy or laser ablation

Question 31

HSIL indicates what?

Answer 31

a moderate to severe neoplasia of the cervical cells

Question 32

high grade squamous lesions can lead to

Answer 32

invasive cancer of the cervix

Question 33

CIS

Answer 33

carcinoma in situ

Question 34

cis TX

Answer 34

must have some typye of ablative tx regardless of age