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13 Cards in this Set

  • Front
  • Back
cytology is negative and you have HPV positive?
Repeat both tests at 12 months.
In the use of HPV DNA testing as an adjunct to cytology for cervical cancer screening in women 30 years and older, what is done if you have
cytology ASCUS or greater?
Manage per ASCCP guideline
With the management of adolescent women (20 years and younger) with a histological diagnosis of cervical intraepithelial neoplasia -Grade 1 (CIN 1)
What is the progression if less than HSIL?
Adolescent women with CIN1 (females 20 years and younger), Repeat Cytology @ 12 months, <HSIL, Repeat Cytology 12 months later
With the management of adolescent women (20 years and younger) with a histological diagnosis of cervical intraepithelial neoplasia -Grade 1 (CIN 1)
What is the progression if greater than or equal to HSIL?
Adolescent women with CIN1 (females 20 years and younger), Repeat cytology, greater than or equal to HSIL, Colposcopy
In the management of women with atypical squamous cells: Cannot exclude High grade SIL (ASC-H), what is the progression if there is NO CIN 2,3?
Colposcopic examination, NO CIN 2,3, Cytology at six or twelve months, OR HPV DNA testing at twelve months.
In the management of women with atypical squamous cells: Cannot exclude High grade SIL (ASC-H), what is the progression if there is CIN 2,3?
Colposcopic examination, CIN 2,3, Manage per ASCCP guideline
In the management of women with low grade squamous intraepithelia lesion what is the progression if there is NO CIN 2,3?
Colposcopic examination, Non-pregnant and NO lesion identified Endocervical sampling preferred, Unsatisfactory colposcopic examination Endocervical sampling preferred,
Satisfactory colposcopy and lesion identified Endocervical sampling acceptable, NO CIN 2,3, Cytology at six and twelve months, HPV DNA testing at twelve months.
In the management of women with low grade squamous intraepithelia lesion what is the progression if there is CIN 2,3?
Colposcopic examination, Non-pregnant and NO lesion identified Endocervical sampling preferred, Unsatisfactory colposcopic examination Endocervical sampling preferred,
Satisfactory colposcopy and lesion identified Endocervical sampling acceptable, CIN 2,3, Manage per ASCCP Guideline
In the management of women with high grade squamous intraepithelial lesion HSIL what are first two options?
Immediate loop electrosurgical excision OR Colposcopic examination with endocervical assesment
In the management of adolsecent women (20 years and younger) with high grade squamous intraepithelial lesion (HSIL) what is the first part of the progression?
Colposcopic examination (immediate loop elecrosurgical excision is unacceptable)
In the management of adolsecent women (20 years and younger) with high grade squamous intraepithelial lesion (HSIL) after colposcopic examination, what are the two following
options in the chart progression?
NO CIN 2,3 followed by observation with colposcopy and cytology. The other option is CIN 2,3 leading to "manage per ASCCP guideline for
adolescents with CIN 2,3"
What are the three steps that you can take in managing a woman with atypical squamous cells of undetermined significance?
1. Repeat Cytology at 6 and 12 months.

2. Colposcopy (Endocervical sampling preferred in women with no lesions, and those with unsatisfactory colposcopy)

3. HPV DNA Testing, Preferred if liquid based cytology or co-collection available.
In the use of HPV DNA testing as an adjunct to cytology for cervical cancer screening in women 30 years and older, what is done
if the cytology is negative and you have HPV negative?
Routine Screening not before three years.