Updated: 1/6/2016

Cervical Pap Smear

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Questions
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Evidence
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Topic
Introduction
  • Screening test
    • can detect squamous dysplasia and cancer
    • can evaluate patient's sex hormones
      • superficial squamous cells
        • indicates full mucosal surface maturation and therefore the presence of estrogen
        • high estrogen without progesterone results in 100% superficial squamous cells
      • intermediate squamous cells
        • indicates presence of progesterone
        • high progesterone in pregnancy results in 100% intermediate cells
      • parabasal cells
        • indicates lack of estrogen and progesterone
        • seen in elderly women
  • Process
    • must sample transition zone between endo (columnar) and exo (squamous) cervix 
    • smear must show presence of columnar cells to prove that transition zone was reached

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Questions (1)

(M1.RP.15.71) A 36-year-old G2P2 female visits her gynecologist for a follow up visit. On her previous visit, a routine Pap smear demonstrated findings which required further testing with colposcopy. During the colposcopy, the gynecologist obtains a biopsy from the ectocervix. Which of the following figures is representative of the normal epithelium found in the ectocervix?

QID: 106496
FIGURES:
1

Figure A

4%

(3/72)

2

Figure B

67%

(48/72)

3

Figure C

4%

(3/72)

4

Figure D

12%

(9/72)

5

Figure E

7%

(5/72)

M 1 D

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