pap - meshi

[ArchivalUser]

A 56-year-old female presents for a health maintenance examination. She has a history of a total hysterectomy for benign disease 4 years ago. You are able to document that the hysterectomy pathology was benign and that she has had normal Papanicolaou (Pap) tests for 10 years. The patient asks about regular Pap smears. Which one of the following would be the most appropriate recommendation?

A. Routine Pap smears should be continued until age 70
B. A Pap smear should be done every 3 years
C. A Pap smear is not indicated
D. A Pap smear should be done yearly for 3 years and only if indicated thereafter

[ArchivalUser]

C...

[ArchivalUser]

A??

[ArchivalUser]

CCC

[ArchivalUser]

cc

[ArchivalUser]

Plz explain CCC

[ArchivalUser]

After a hysterectomy for documented benign disease, cytologic screening may be discontinued. Papanicolaou (Pap) smears in this population are low yield and may cause unnecessary testing due to false-positives. Pap smears may be continued if the reason for the hysterectomy is uncertain. If there is a history of invasive cervical cancer or DES exposure, screening should be continued, although there is not a great deal of data to support this practice.