Ob/gyn Shelf: Uwise Notes Questions And Verified Answers

OB/GYN SHELF: UWISE NOTES What is the next step which is indicated for any *ABNORMAL pap* when *HPV is (+)*? - ANSWER- *COLPOSCOPY* Such abnormal results include ASCUS: atypical squamous cells of undetermined significance What should you do for a patient with *ASCUS* (atypical squamous cell of undetermined significance) if their *HPV test is (-)*? - ANSWER- Can then manage using CO-testing with cytology & HPV to be repeated in 3 yrs. Repeat cytology can occur in 1 yr with ASCUS if the HPV test cannot be completed. the GUIDELINES for *initiaiton of Cervical Cancer Screenings* (AKA; pap smears) if currently at what age? - ANSWER- Age *21* --> this is regardless of the patients coitarche (beginning sexual intercourse) What is the typical screening for STIs in an asymptomatic patient? - ANSWER- DNA probes for gonorrhea & chlamydia.What screening test is *NOT indicated* in patients who have had a *hysterectomy* (special circumstance for hysterectomy)? - ANSWER- *PAP Smear* is NOT indicated in a person who had a hysterectomy for reasons other than: *cervical cancer* or *HIGH-grade cervical dysplasia* At what point in a patients life could you discontinue *pap smears*? (assume that patient still has a uterus) - ANSWER- *B/w