Review Question - QID 104140

This patient has no concerning medical findings; however, the HPV vaccine can be given to patients who are 11-12 years of age (though up to 26 years is also acceptable).

General well visits should include assessments for common and chronic diseases including obtaining a blood pressure, offering contraception if needed, counseling for depression/alcohol use, and ensuring the patient is up to date on their vaccinations. The HPV vaccine is acceptable for both boys and girls starting at age 11 up to age 26. It is ideal to give the vaccine before the patient becomes sexually active. The HPV vaccine not only protects against cervical cancer but also against penile cancer and cancer of the oropharynx.

Incorrect Answers:
Answer 2: Human papilloma virus PCR is generally not indicated in a young patient who is not sexually active. It could be performed if this patient had an abnormal pap smear or any concern for an HPV infection.

Answer 3: Hypertension screening is not needed in this patient given that her blood pressure is within the realm of normal for this patient's age.

Answer 4: Pelvic examination is usually performed in teenagers or if there is an acute indication for a pelvic exam (such as an abnormal discharge or foreign body presence).

Answer 5: Serum lipids and cholesterol can be performed in young children; however, there is not clear evidence for routine screening in pediatric patients unless there is a clear risk factor or family history. Early treatment of dyslipidemia could prevent future complications; however, vaccination is a better next step in management.

Bullet Summary:
The HPV vaccine is indicated for patients age 11 to 26 years of age.