Abnormal Cervical Cytology

Women between the ages of 21-29 should be tested with [blank_start]cytology alone every 3 years[blank_end]. Women between the ages of 30-65 should be tested with [blank_start]cytology + HPV cotesting every 5 years[blank_end] or [blank_start]cytology alone every 3 years.[blank_end]

According to ASCCP guidelines, women no longer need to be screened for cervical cancer if they are >65 with ___________________ or they have had a total hysterectomy __________________________.

The following populations are not appropriate to screen according to standard ASCCP guidelines:

According to the Bethesda system, any of the following may result in an unsatisfactory pap specimen EXCEPT:

Actinomyces is a common finding for women with

If a client has an unsatisfactory cytology, and is HPV unknown or HPV neg (>30 yrs old), you should [blank_start]repeat cytology after 2-4 months[blank_end]. If result is HPV positive (age >30), you can either [blank_start]repeat cytology in 2-4 months[blank_end] or offer a coloposcopy.

If a client's cytology is NILM, but EC/TZ is absent/insufficient: If the client is age 21-29 or HPV neg, you can [blank_start]follow routine screening[blank_end]. If the client is >30 and HPV is unknown, [blank_start]HPV testing[blank_end] is preferred, but [blank_start]repeat cytology in 3 yrs[blank_end] is acceptable. If the client is >30 and HPV positive, you can [blank_start]repeat cyto and HPV test in 1 yr[blank_end] or perform [blank_start]genotyping[blank_end]

Ages 21-24 with either ASCUS or LSIL: it is preferred to [blank_start]repeat cytology in 12 months[blank_end], but acceptable to [blank_start]perform reflex HPV testing[blank_end].

If a woman's results indicate Atypical Squamous Cells, Cannot exclude High-grade Squamous Intraepithelial Lesion (ASC-H), you recommend

A 23 yo woman has a pap result of HSIL and a colpo negative for CIN 2, 3. Repeat paps done every 6 months in the following 24 months a continue to show HSIL, though repeat colpos do not identify CIN 2, 3. You recommend:

Management of Low-grade Squamous Intraepithelial Lesions (LSIL): If there is no HPV result of a positive HPV result, the recommendation is [blank_start]colposcopy[blank_end]. If the HPV result is negative, it is preferred to [blank_start]repeat cotesting in 1 year[blank_end], but acceptable to [blank_start]perform colposcopy[blank_end].

For a pregnant patient with LSIL, colposcopy is preferred, but it is acceptable to wait until at least 6 weeks post partum to perform colposcopy.

Women with a HSIL result can follow up with either a _____________ or a _________________; except for women who are 21-24 or pregnant, who should follow up with a _____________________.

Your 25 yo pt with PCOS has a pap result of Atypical Glandular Cells (AGC) without atypical endometrial cells. You recommend

You have 25 yo PCOS pt w/initial pap of AGC. Follow up pathology is negative for CIN 2,3, AIS (endocervical adenocarcinoma in situ), or cancer. You follow up with ____________. If these results are also negative, you may follow up with ______________.

Your 33 yo pt's pap results indicate ASCUS and HPV 16+. A follow up colpo reveals CIN1. Your next step is ___________________ and if those results are negative then you may ________________________________________.

Your 28 yo pt has a pap indicating ASC-H or HSIL. Follow- up results indicate CIN1. All of the following are appropriate next steps, except: