Matthew Coulson
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Public Health Lecture given on the Friday of Week 3

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Matthew Coulson
Creado por Matthew Coulson hace alrededor de 6 años
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Cervical Cancer Screening & Colposcopy

Pregunta 1 de 23

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What is the most common cancer in women under the age of 35?
cancer

Explicación

Pregunta 2 de 23

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In the UK, women are offered cervical screening once the turn which age?

Explicación

Pregunta 3 de 23

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How often are women of the following ages offered cervical screening?
25 - 49 =
50 - 65 =

Arrastra y suelta para completar el texto.

    Every 3 years
    Every year
    Every 2 years
    Every 5 years

Explicación

Pregunta 4 de 23

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Which instrument is used to dilate the vagina in order to view the cervix for a smear test to be conducted?
A

Explicación

Pregunta 5 de 23

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= Number of people being screened / number of eligible people
= Number of people being screened / number of people invited to be screened

Arrastra y suelta para completar el texto.

    Coverage of Screening Test
    Pool of Screening Test
    Engagement of Screening Test
    Uptake of Screening Test

Explicación

Pregunta 6 de 23

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Which strains of HPV are known to cause Cervical cancer?

Selecciona una de las siguientes respuestas posibles:

  • Strains 6&11

  • Strains 16&18

  • Strains 24&30

  • Strains 3&5

Explicación

Pregunta 7 de 23

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Which condition is typically caused by HPV strains 6 and 11?

Explicación

Pregunta 8 de 23

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Females are currently vaccinated against HPV at what age?

Selecciona una de las siguientes respuestas posibles:

  • 12-13

  • 3 years 4 months - 5 years

  • 16-18

  • 18-21

Explicación

Pregunta 9 de 23

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Which of the following strains of HPV are females vaccinated against at age 12-13?

Selecciona una o más de las siguientes respuestas posibles:

  • 6

  • 11

  • 16

  • 18

Explicación

Pregunta 10 de 23

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HPV vaccination removes the need for women to be screened for cervical cancer later in life, thus saving the healthcare service money.

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

Pregunta 11 de 23

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As well as HPV 16 and 18, which of the following HPV strains also puts a woman at risk of cervical cancer?

Selecciona una de las siguientes respuestas posibles:

  • 30

  • 31

  • 32

  • 33

  • 34

  • 35

Explicación

Pregunta 12 de 23

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All women with a cervical smear showing borderline/mild dyskaryosis should have the cells tested for (use abbreviation)

Explicación

Pregunta 13 de 23

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Which of the following applies to the cervical smear result?

59 year old patient. Borderline/Mild Dyskaryosis noted on smear, positive for HPV

Selecciona una de las siguientes respuestas posibles:

  • Patient goes back on to routine cervical screening programme to be seen again in 3 years

  • Patient goes back on to routine cervical screening programme to be seen again in 5 years

  • Patient referred for colposcopy, to be seen within 6-8 weeks

  • Patient referred for colposcopy, to be seen within 2 weeks

Explicación

Pregunta 14 de 23

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Which of the following applies to the cervical smear result?

29 year old patient. Borderline/Mild Dyskaryosis noted on smear, negative for HPV

Selecciona una de las siguientes respuestas posibles:

  • Patient placed back on routine cervical screening programme, to be seen again in 3 years

  • Patient placed back on routine cervical screening programme, to be seen again in 5 years

  • Patient referred to colposcopy, to be seen within 6-8 weeks

  • Patient referred to colposcopy, to be seen within 2 weeks

Explicación

Pregunta 15 de 23

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Which of the following applies to the cervical smear result?

45 year old patient. Moderate/Severe Dyskaryosis noted on smear.

Selecciona una de las siguientes respuestas posibles:

  • Patient placed back on routine cervical screening programme, to be seen again in 3 years

  • Patient placed back on routine cervical screening programme, to be seen again in 5 years

  • Patient referred to colposcopy, to be seen within 6-8 weeks

  • Patient referred to colposcopy, to be seen within 2 weeks

  • Patient referred to gynaecology for emergency admission

Explicación

Pregunta 16 de 23

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During Colposcopy:
( Acetic Acid, Iodine, Methylene Blue, Congo Red ) applied to cervix turns both pre-malignant and malignant cells white in colour, thus allowing for visualisation.
( Iodine, Acetic Acid, Methylene Blue, Congo Red ) applied to cervix turns malignant cells dark brown in colour, but typically misses out some pre-malignant cells.

Explicación

Pregunta 17 de 23

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Moderate Dyskaryosis is consistent with ( CIN II, CIN III, CIN I )
Severe Dyskaryosis is consistent with ( CIN III, CIN II, CIN I )

Explicación

Pregunta 18 de 23

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Abnormal cells noted on colposcopy generally warrant a biopsy to be taken whereby 2-3 samples are taken and sent for analysis. Local anaesthetic is not required for this procedure.

Explicación

Pregunta 19 de 23

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Treatment based on results of Punch Biopsy:
CIN I: ( Invited for repeat smear in 1 year, Invited for repeat smear in 6 months, Invited for repeat smear in 2 years, Treatment to remove cells necessary )
CIN II: ( Treatment to remove cells necessary, Invited for repeat smear in 1 year, Invited for repeat smear in 2 years, Invited for repeat smear in 6 months )
CIN III: ( Treatment to remove cells necessary, Invited for repeat smear in 1 year, Invited for repeat smear in 2 years, Invited for repeat smear in 6 months )
CGIN: ( Treatment to remove cells necessary, Invited for repeat smear in 1 year, Invited for repeat smear in 6 months, Invited for repeat smear in 2 years )

Explicación

Pregunta 20 de 23

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Following abnormal colposcopy and biopsy, treatment for CIN II, CIN III or CGIN is typically conducted by which of the following procedures?

Selecciona una de las siguientes respuestas posibles:

  • Loop Excision under local anaesthetic

  • Loop Excision under general anaesthetic

  • Cone Biopsy under local anaesthetic

  • Cone Biopsy under general anaesthetic

Explicación

Pregunta 21 de 23

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If there is a large area of abnormal cells needing to be removed such that the usual method of treatment cannot be utilised, which of the following should be conducted?

Selecciona una de las siguientes respuestas posibles:

  • Loop Excision under local anaesthetic

  • Loop Excision under general anaesthetic

  • Cone Biopsy under local anaesthetic

  • Cone Biopsy under general anaesthetic

Explicación

Pregunta 22 de 23

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Any woman who has been treated as part of the cervical screening programme (punch biopsy, loop excision, cone biopsy, etc) is required to have another cervical smear test months following the treatment in order to make sure that the treatment was successful and that the abnormal cells have not returned.

Explicación

Pregunta 23 de 23

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If a woman is found to have HPV infected cells, she will be invited for her next cervical smear after 3 years (at the latest) irrespective of her age.

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

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