Kamsi
Forum Guru
Topics: 103
Posts: 347
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A 25 -year -old woman comes to you for pap smear for the first time. She is sexually active with many partners and
uses barrier methods for contraception. She has no other health issues and her past history is significant for an STD 4
months ago. She drinks alcohol “off and on ”,smokes 1pack/day/4years. During the conversation she says that she
doesn ’t like to see doctors often unless it is really life threatening. The result of the pap smear shows mild dysplasia.
What is the next best step in the management of this patient?
A. Repeat pap smear in 4 months
B. Ultrasound abdomen
C. Cone biopsy
D. Colposcopy
E. Endocervical curettage
F. Ectocervical biopsy
G. Regular pap smear in one year
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| dermatology
Forum Elite
Topics: 30
Posts: 293
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D coloposcopy ...
every patient with abnormal pap smear has to undergo colposcopy to magnified 10-12 times .... with acetic acid .. if any changes seen do biopsy after doing endocervical curretage
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| Kamsi
Forum Guru
Topics: 103
Posts: 347
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In case of pap smear with abnormal squamous cell,s read that U repeat pap smear at 4 to 6 month interval until 2 are negative ,if repeat is positive,then do colposcopy,Can U read me on that that is where to repeat the pap smear or go on to colposcopy
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| dermatology
Forum Elite
Topics: 30
Posts: 293
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acc to case patient is surely going to b non compliant she doesnt go to doc unless its life threatening .... as the question is best step in this patient i wud go for colposcopy and not repeat pap smear ... as u never know whether she comes or not next time for pap smear...
if it was not given patients compliance and smoking history and multiple sexual partners i wud have gone for repeat pap smear.....
this is wat i think ...
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| starcraftbw
Forum Senior
Topics: 13
Posts: 166
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I agree with Kamsi.......... repeat pap-smear in 3-6 months........ cervical cancer takes YEARSSSSSSSSSSS to develop...she wont die within couple months
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| MAGY17
Forum Elite
Topics: 30
Posts: 234
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germatology you are right pcte that wiil not compliance apoitment to see the doctor and pap report hyperplasia next step is colposcopy other pcte repeat pap in 4-6 monts
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| gr8doc
Forum Senior
Topics: 8
Posts: 210
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colposcopy considering the non compliant patient.
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