03-23-2007, 10:16 AM
A 29-year-old patient comes to the physician for an annual examination. She has normal menstrual periods every 30 days. She was 15 years old when she first began having intercourse. She uses condoms for contraception. Her past medical history is significant for multiple sclerosis. This condition has required her to use a wheelchair for the past 4 years, which makes pelvic examination somewhat difficult for her. She smokes one pack of cigarettes per day. Given her difficulty with the pelvic examination, she inquires as to how often she needs to have a Pap smear performed. Which of the following is the correct answer?
A. A Pap smear should be performed every year
B. A Pap smear should be performed every 3 years
C. A Pap smear should be performed every 5 years
D. A Pap smear should be performed only if there are symptoms
E. A Pap smear is not necessary
A. A Pap smear should be performed every year
B. A Pap smear should be performed every 3 years
C. A Pap smear should be performed every 5 years
D. A Pap smear should be performed only if there are symptoms
E. A Pap smear is not necessary