11-04-2010, 03:54 PM
A 31-year-old nulligravida single female presents for
an annual exam. She has no gynecologic concerns, and
her last menstrual period was 3 weeks ago. She uses
oral contraception for birth control and has regular
cycles. Her examination is unremarkable. The Pap
smear returns, demonstrating high-grade squamous
intraepithelial neoplasia (HSIL).
You notify her of the Pap smear findings and
explain this indicates:
A) She has cervical cancer.
B) She needs further diagnostic testing including colposcopy
and possible biopsy.
C) She needs treatment with cryotherapy or laser
ablation.
D) She should have the Pap smear repeated in 3–4
months.
an annual exam. She has no gynecologic concerns, and
her last menstrual period was 3 weeks ago. She uses
oral contraception for birth control and has regular
cycles. Her examination is unremarkable. The Pap
smear returns, demonstrating high-grade squamous
intraepithelial neoplasia (HSIL).
You notify her of the Pap smear findings and
explain this indicates:
A) She has cervical cancer.
B) She needs further diagnostic testing including colposcopy
and possible biopsy.
C) She needs treatment with cryotherapy or laser
ablation.
D) She should have the Pap smear repeated in 3–4
months.