CERVICAL CANCER SCREENING & MANAGEMENT 1 When

CERVICAL CANCER SCREENING & MANAGEMENT 1 When do we start screening (USPSTF)? (for women w avg risk) ? 2 When do we stop screening? Screening guidelines for women s/p hysterectomy w all of cervix removed? 3 What is the Bethesda system in relation to reporting the PAP results? 4 Describe the component/content sections of a PAP report? (See Power Point PAPS) 5 When do we start PAPs w HPV co-testing ? (For women w avg risk?) 6 What general guidelines are employed for immunosuppressed (ie HIV women? 7 What HPV oncogenes are known to be pre-cancerous? 8 What HPV oncogenes account for genital warts? 9 Abnormal PAP findings – (See summary sheet – highlighted areas) Know management of same for women <30 cytology no malignant lesions, no SCQ/EZ cells noted < specimen unsatisfactory of evaluation < 30 w ASCUS or ASCUS w LSIL < 30 w ASCUS - H > 30 w ASCUS , HPV neg > 30 w ASCUS w + HPV > 30 w Cytology negative, Positive HPV +Others’ highlighted on summary sheet 10 What patterns on a colposcope might suggest cancerous findings? 11 Why did we change the frequency from annual to every 3 yrs (< 30) or every 5 yrs w co testing (.30 yrs) for women of average risk ? 12 What might interfere with an acceptable PAP sample? 13 What is a colposcope? 14 Who is ASCCP in gyn world and what is their role? 15 What is the THIN PREP method of performing PAPs? 16 What vaccines are administered to prevent Cervical Cancer - which ones are available in the US and what is the administration schedule? 17 What GYN Oncologist would your practice refer a pt to for a patient with an abnormal PAP requiring this referral?

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