Cervix

Question 1

When to start pap smear in relation to onset of sexual activity

Answer 1

Within 3 years of onset of sexual activity

Question 2

Age when papsmear should be done if without sexual activity

Answer 2

21

Question 3

Conventional pap smear is performed annually until

Answer 3

30 yo

Question 4

Pap smear is done every __ after age 30 if negative of CIN for 3 consecutive years

Answer 4

2-3 years

Question 5

Age when to discontinue pap smear if with negative cytology results for 3 consecutive years,
No abnormal test results in the past 10 years and
No new sexual partner

Answer 5

65-70

Question 6

Post total hysterectomy pap smear can be discontinued except

Answer 6

HSIL History
Immunocompromised
DES Exposure

Question 7

Unsatisfactory Sample of Pap smear

Answer 7

Lack of Label
Loss of Transport Medium
Scant Cellularity
Contamination

Label the Medium if with Scant Contamination

Question 8

HPV DNA, CIN 1, dysplasia

Answer 8

LSIL

Question 9

CIN 2, CIN 3

Answer 9

HSIL

Question 10

Inc Nuclear to cytoplasmic ratio
Hyperchromasia
Perinuclear Halo
Irregular Nucleus
Clumping chromatin

Answer 10

Cervical dysplasia: Atypical

Question 11

Colposcopy Done

Answer 11

ASC-US
ASC-H
LSIL (CN 1)
HSIL (CN 2,3)
Glandular Lesion

Question 12

Repeat cytology in 12 mos

Answer 12

Recommended when results of biopsy show CIN 1 after being previously (ASCUS, LSIL, HPV 16 or 18)

Question 13

Observation with ________ can be an option for those with CIN 1: ASC-H, HSIL provided Colpo is negative

Answer 13

Colposcopy and cytology at 6 months interval for 12 months

Question 14

Observation thru ___ every ___ can be an option for those with CIN 2,3 biopsy results with adequate colposcopy.

Answer 14

Colposcopy and cytology at 6 months interval for 12 months

Question 15

Options for those with CIN 2,3 biopsy results with inadequate colposcopy

Answer 15

Excision

Ablation of transformation zone

Question 16

2nd most common CA among women

Answer 16

Cervical CA

Question 17

Necessary cause of Cervical CA

Answer 17

HPV

Question 18

Most common histology of cervical cancer

Histologic type of cervical cancer arising from the ectocervix

Answer 18

Squamous cell CA

Question 19

Histologic type of cervical cancer arising from the endocervix

Answer 19

Adenocarcinoma

Question 20

Most common symptom of cervical cancer

Answer 20

Vaginal Bleeding - brown, foul smelling discharge

Question 21

Level of prevention of cervical cancer: pap smear

Answer 21

Secondary

Question 22

Pattern of spread of Cervical CA

Answer 22

Lymphatic

Question 23

Level of prevention of cervical cancer: abstinence

Answer 23

Primary

Question 24

Level of prevention of cervical cancer: Vaccination vs HPV 16,18

Answer 24

Primary

Question 25

Primary level of cervical cancer prevention

Answer 25

Abstinence Lifetime mutual monogamy Barrier protection Vaccination vs HPV 16,18

Question 26

Secondary level of cervical CA prevention

Answer 26

any SCREENING test

Question 27

Stage of cervical cancer: confined to cervix

Answer 27

1

Question 28

Stage of cervical cancer: beyond uterus, not extending to pelvic wall or lower 1/3 of vagina

Answer 28

2 2A (-) Parametrial invasion 2B (+) Parametrial Invasion

Question 29

Stage of cervical cancer: lower 1/3 of vagina with or without hydronephrosis or non-functioning kidney

Answer 29

3 3A (-) Pelvic wall invasion 3B (+) Pelvic wall invasion

Question 30

Stage of cervical cancer: bladder or rectal invasion Stage of cervical cancer: beyond true pelvis

Answer 30

4 4A - Adjacent Organs 4B - Distant Organs

Question 31

Preferred First Line Single Agent in Chemotherapy of Cervical CA

Answer 31

Cisplatin