Updated: 1/6/2016

Cervical Pap Smear

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  • 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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(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:

Figure A

3%

(4/125)

Figure B

71%

(89/125)

Figure C

9%

(11/125)

Figure D

9%

(11/125)

Figure E

5%

(6/125)

M 1 D

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