1When should Pap screening begin Age 21 yo3yrs after first intercourse 2What are screening methodsampintervals for Pap ampHPV Cytology 1Conventional20FN ID: 359763
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Slide1
Top Pap smear QuestionsSlide2
1-When should Pap screening begin?
Age 21 y/o,3yrs after first intercourseSlide3
2-What
are screening methods&intervals(for Pap &HPV)? Cytology:1-Conventional(20%FN):2-Liquid-based SurepathThinprepFocal point-HPV co-test(cytology+HPV test)-primary hrHPV testing(16+18+pool results of 12 other
hrHPV
)
-Every 3yrs(conventional or liquid-based)Slide4
3-When
can women C/C Pap smear?Aged>65 with adequate negative prior screening & no history of CIN2 or higher within the last 20 yrs Slide5
4-What are RF for HPV INFXN?
A-Multiple sex partnersB-High-risk partnersC-Cigarette smokingD- ImmunodificiencyE-HX of STDF- Early age at first intercourseSlide6
5-
What are the three HPV vaccines?A- Gardasil (quadravalent )for protection against HPV 16,18,6,11B- Cervarix (bivalent) for protection against HPV 16,18C- Gardasil 9(9-valent)for protection against HPV 16,18,6,11,31,33,45,52,58Slide7
6- What are the 6 components of the Pap smear ?
A- Description (Conventional or liquid – based )B- Description of Adequacy ( Satisfactory )C- General Category (negative or positive for epithelial cell Abnormality )D- Interpretation / Result E- Description of ancillary testing (hr HPV Test )F- Educational notes & Suggestion (optional)Slide8
7- What are some non-
neoplastic Pap smear findings??Yes. A-INFXN: Trichomonas , fungi (Candida), BV, HSV2,non-specific B- Reactive: Inflammation , radiation , IUDC- Atrophic changeSlide9
8- Do women who have been vaccinated against HPV still need to be screened for cervical cancer?
Yes.Current HPV vaccines do not protect against all HPV types that cause cervical cancerSlide10
9- Can HPV infections be prevented?
A- Not sexually activeB- VaccineC- CondomSlide11
10- What are the aims of Pap smear? A-Detection of precancerous cervical lesionsB- Detection of inflammatory & infectious cervical lesions ( especially HPV)C-Detection of cervical cancerD- Hormonal evaluationE- Follow up of cervical cancerSlide12
11- When is the best Time to get a Pap smear in a month?
A- Mid-cycle or two weeks after the last LMPB- 12 weeks or 3 months postpartumSlide13
12-How to prepare for a Pap Test?
Avoid intercourse,Douching & vaginal inserts for 24 to 48hSlide14
13-What is the relationship between HPV & cervical cancer ?
A- It is more important than association between cigarette smoking & lung cancer B- Extremely common ( most common viral infection of the reproductive tract) C- Over 100 types of HPV , At least 15 HR typeD- HPV16 , 18 cause 70% of cervical cancer & precancerous cervical lesionsE- Skin – to – skin genital contact is a well-recognized mode of Transmission Slide15
14-Does having HPV or abnormal cervical cells affect chances of getting pregnant or have healthy babies?
A- NoB- But if one needs treatment , it could affect fertility or carrying a baby to termSlide16
15- Is there any test for men to find out if they have HPV?
A – NoB- Genital warts Slide17
16- Do one need to check LR HPV Test ?
A- No disease progressionB- No change Treatment Slide18
17- Do need to continue Pap test in patients with history of endometrial caner?
- No Slide19
18- Who should not have the Pap Test?
A- <21 Y/OB- No sexual activityC- Had total hysterectomy for non-cancer lesionsD- Aged>65 years with adequate screening history E- Dialysis Patients with limited life expectancies without sign & symptom (ASN)Slide20
19- What are the most important references for Pap Test?
A- American Society for Clinical Pathology (ASCP)B- American Cancer Society (ACS)C- American Society for Colposcopy & Cervical Pathology (ASCCP)D- U.S. Preventive Services Task Force (USPSTF)E- American College of Obstetricians &Gynecologists (ACOG)F- National Cancer Institute (NIH)G- Society of Gynecologic oncology (SGO)