Pap Smear - Gynecology - Medbullets Step 2/3

Snapshot
- A 27-year-old women presents to her gynecologist for a routine visit. She denies any acute complaints and is currently sexually active with two men. She reports consistent use of condoms and denies any abnormal vaginal smell or discharge as well as dysuria. A pap test is performed, which shows atypical squamous cells of undetermined significance (ASC-US). Her last pap test was normal. A reflex human papillomavirus (HPV) test is performed.

Abnormal Pap Smear Management

Pap Smear Management
Pap Smear Test Result	21-24 Years Old	25-29 Years Old	≥30 Years Old & HPV Negative	≥30 Years Old & HPV Positive
Normal pap test result	Pap test ever 3 years	Pap test every 3 years	Co-testing (pap and HPV testing) every 5 years preferred Pap test every 3 years acceptable	Co-testing in 1 year acceptable HPV testing acceptable
ASC-US	Pap test in 1 year preferred Reflex HPV test acceptable	Pap test in 1 year acceptable Reflex HPV test preferred	Repeat co-testing in 3 years	Colposcopy
LSIL	Repeat pap test in 1 year	Colposcopy	Repeat pap test in 1 year preferred Colposcopy acceptable	Colposcopy
ASC-H	Colposcopy	Colposcopy	Colposcopy	Colposcopy
HSIL	Colposcopy	Excisional treatment or colposcopy	Excisional treatment or colposcopy	Excisional treatment or colposcopy

Action	Numeric Key	Letter Key	Function Key
Choose 1	1
Choose 2	2
Choose 3	3
Choose 4	4
Choose 5	5
Submit Response			Enter
Previous Question			Left Arrow
Next Question		N	Right Arrow
Open/Close Bookmode		C
Open Image			Spacebar