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Flashcards in HPV, pap smear prep Deck (15):
1

Laboratory test in which cells from the cervix and vagina of a female (rectum of male) are evaluated to look for cancerous or precancerous changes

pap test

2

Pap test is most effective screening for what

squamous cell carcinoma

3

from where are cells taken from for pap

cervix
endocervical canal

4

what else does liquid pap smear test for

HPV
chlamydia
gonorrhea

5

when can HPV be tested? What is this called?

"reflex testing" :only when atypical cells are found on pap
"co-testing" : tested along with Pap

6

what organisms are seen in pap smear that are reported?

yeast, candida
trichomonas
herpes

7

what are epitheila cell abnoramilities seen in pap smear

- squamous cells finding atypical to dysplasia to squamous cell carcinoma
- glandular cells: atypical to adenocarcinoma

8

what method has the highest sensitivity to picking up high grade lesions, then rank them to best to worse

1. liquid based plus test for high risk HPV
2. liquid-based pap
3. conventional pap

9

what is the paradox of pap smear? why does this happen

less efficient in detecting invasive cancer than in finding preinvasive disease
- abundant blood and obscuring inflammation present with invasive cancer and poor sampling of actual cancer cells

10

What is the most important reason for failure

women who fail to get screened

11

what type of screening should women above 30 get?

pap and HPV testing together
- cotesting

12

what type of screening should women age 21-20 get

pap smear with high risk HPV testing
"reflux" testing

13

What type of treatment do adolescent women ( below age of 20 ) get?

treated conservatively
- as long as HPV infection resolves

14

If abnormalities detected in pap test what further test can be done

colposcopy

15

what is colpscopy

cervix visualized with microscope
- biopsies taken if needed