Oncology - Cervical cancer screening (3 to 4) 20/02/24

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3) A 35-year-old woman presents for her routine cervical cancer screening. She has a history of regular Pap smears every three years, with her last Pap smear being normal. She has no significant medical history and no symptoms related to cervical cancer. Her HPV DNA test results come back positive for high-risk HPV strains. What is the most appropriate next step?

1 point

a. Repeat the Pap smear in one year

b. Repeat the HPV DNA test in six months

c. Perform a colposcopy

d. No further action is required

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4) A 40-year-old woman presents with abnormal vaginal bleeding. She has not had regular cervical cancer screening in the past. Upon evaluation, a Pap smear is performed and shows atypical squamous cells of undetermined significance (ASCUS). Additionally, the HPV DNA test results come back positive for high-risk HPV strains. What is the most appropriate next step?

1 point

a. Repeat the Pap smear in one year

b. Perform a colposcopy

c. Perform a pelvic ultrasound

d. Administer HPV vaccination

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5) A 46-year-old patient presents with a history of a total hysterectomy 1 year ago for leiomyomas and menorrhagia. She has no history of abnormal Pap smears or lower genital tract cancers. She is sexually active with one male partner, and they do not use condoms. Which strategy for follow-up is indicated?

1 point

a. Vaccination against high-risk human papillomavirus (HPV) infection

b. Discontinue screening with Pap tests or HPV screening

c. Vaginal cytology and HPV screening every 5 years

d. Vaginal cytology every 3 years

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