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Old 01-31-2012
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ObGyn Pap Smear HSIL Management

A 36-year-old woman comes for a follow-up examination 6 days after a Pap smear showed a HSIL. Examination shows no abnormalities. Which of the following is the most appropriate next step in management?
A) Repeat Pap smear
B) Trichloroacetic acid therapy
C) Colposcopic-directed biopsy
D) Cone biopsy of the cervix
E) Cryosurgery of the cervix
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Old 01-31-2012
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Default C. Colposcopy with biopsy

C. Colposcopy with biopsy
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Old 01-31-2012
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Do u have a flowchart or a set of clear cut directions of how to manage a case of HSIL or CIN2-3..... uworld has only LSIL and kaplan is not so clear.... its confusing but still a very important topic....
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Old 02-01-2012
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Default attached file

Attached is the relevant Practice Bulletin from the American College of Obstetrics and Gynecology - it has good flowcharts. You can also find a few review questions at http://www.turnerwhite.com/pdf/hp_oct08_cervical.pdf

The basic rule of LSIL/HSIL is that everything goes to colposcopy except adolescents with LSIL or ASCUS, who just get followed by repeat paps until it goes away or needs colposcopy.

Hope that helps!
Attached Files
File Type: pdf abnormalcytology.pdf (2.75 MB)
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Old 02-01-2012
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Quote:
Originally Posted by Mondoshawan View Post
Attached is the relevant Practice Bulletin from the American College of Obstetrics and Gynecology - it has good flowcharts. You can also find a few review questions at http://www.turnerwhite.com/pdf/hp_oct08_cervical.pdf

The basic rule of LSIL/HSIL is that everything goes to colposcopy except adolescents with LSIL or ASCUS, who just get followed by repeat paps until it goes away or needs colposcopy.

Hope that helps!
i could no more agree
check this too :

Adolescent Girl with CIN1

Last edited by skyhigh; 02-01-2012 at 07:12 AM.
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