Flashcards in Public Health Deck (18):
Which is the most common cancer in women under 35?
What can cervical screening detect?
Cell changes which may develop to be pre-cancerous in women who otherwise have no symptoms
Should a woman with symptoms of cervical cancer have a diagnostic or screening test?
What are the symptoms of cervical cancer?
Unusual vaginal discharge/bleeding
Bleeding after sex/between periods
Describe the cervical cancer screening programme in Scotland
Women aged 20-60yo (now 25-64)
Every 3y until 49yo, then every 5 years after
Speculum exam- visual examination of cervix, brush sample of cells from TZ, liquid based cytology
What constitutes low grade cell changes in cervical screening?
Borderline change in squamos cells/endocervical cells and low grade dyskaryosis results
What constitutes high grade cell changes in cervical screening?
High grade dyskaryosis, invasive, glandular abnormality and endocervical andenocarcinoma results
How is coverage calculated?
Screened population/eligible population x 100%
How is uptake calculated?
Screened population/invited population x 100%
What is a test of cure in CIN?
HPV testing 6 months after CIN treatment- if normal cells and HPV -ve can return to routine 3y screening
What is primary disease prevention?
Stopping a disease before it starts
What is secondary disease prevention?
Stopping a disease from being as bad as it could be or preventing recurrence
What is tertiary disease prevention?
Stopping later complications from developing
What are good targets for disease prevention in O+G?
Reducing teenage pregnancy
(Breast and cervical cancer)
How do you prevent teenage pregnancies?
What is population attributable risk?
What proportion of this disease is caused by this risk factor?
What cancers would be best prevented if everyone in the UK was a healthy weight?