Matthew Coulson
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Public Health Lecture given on the Friday of Week 3

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Matthew Coulson
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Cervical Cancer Screening & Colposcopy

Question 1 of 23

1

Fill the blank space to complete the text.

What is the most common cancer in women under the age of 35?
cancer

Explanation

Question 2 of 23

1

Fill the blank space to complete the text.

In the UK, women are offered cervical screening once the turn which age?

Explanation

Question 3 of 23

1

How often are women of the following ages offered cervical screening?
25 - 49 =
50 - 65 =

Drag and drop to complete the text.

    Every 3 years
    Every year
    Every 2 years
    Every 5 years

Explanation

Question 4 of 23

1

Fill the blank space to complete the text.

Which instrument is used to dilate the vagina in order to view the cervix for a smear test to be conducted?
A

Explanation

Question 5 of 23

1

= Number of people being screened / number of eligible people
= Number of people being screened / number of people invited to be screened

Drag and drop to complete the text.

    Coverage of Screening Test
    Pool of Screening Test
    Engagement of Screening Test
    Uptake of Screening Test

Explanation

Question 6 of 23

1

Which strains of HPV are known to cause Cervical cancer?

Select one of the following:

  • Strains 6&11

  • Strains 16&18

  • Strains 24&30

  • Strains 3&5

Explanation

Question 7 of 23

1

Fill the blank space to complete the text.

Which condition is typically caused by HPV strains 6 and 11?

Explanation

Question 8 of 23

1

Females are currently vaccinated against HPV at what age?

Select one of the following:

  • 12-13

  • 3 years 4 months - 5 years

  • 16-18

  • 18-21

Explanation

Question 9 of 23

1

Which of the following strains of HPV are females vaccinated against at age 12-13?

Select one or more of the following:

  • 6

  • 11

  • 16

  • 18

Explanation

Question 10 of 23

1

HPV vaccination removes the need for women to be screened for cervical cancer later in life, thus saving the healthcare service money.

Select one of the following:

  • True
  • False

Explanation

Question 11 of 23

1

As well as HPV 16 and 18, which of the following HPV strains also puts a woman at risk of cervical cancer?

Select one of the following:

  • 30

  • 31

  • 32

  • 33

  • 34

  • 35

Explanation

Question 12 of 23

1

Fill the blank space to complete the text.

All women with a cervical smear showing borderline/mild dyskaryosis should have the cells tested for (use abbreviation)

Explanation

Question 13 of 23

1

Which of the following applies to the cervical smear result?

59 year old patient. Borderline/Mild Dyskaryosis noted on smear, positive for HPV

Select one of the following:

  • Patient goes back on to routine cervical screening programme to be seen again in 3 years

  • Patient goes back on to routine cervical screening programme to be seen again in 5 years

  • Patient referred for colposcopy, to be seen within 6-8 weeks

  • Patient referred for colposcopy, to be seen within 2 weeks

Explanation

Question 14 of 23

1

Which of the following applies to the cervical smear result?

29 year old patient. Borderline/Mild Dyskaryosis noted on smear, negative for HPV

Select one of the following:

  • Patient placed back on routine cervical screening programme, to be seen again in 3 years

  • Patient placed back on routine cervical screening programme, to be seen again in 5 years

  • Patient referred to colposcopy, to be seen within 6-8 weeks

  • Patient referred to colposcopy, to be seen within 2 weeks

Explanation

Question 15 of 23

1

Which of the following applies to the cervical smear result?

45 year old patient. Moderate/Severe Dyskaryosis noted on smear.

Select one of the following:

  • Patient placed back on routine cervical screening programme, to be seen again in 3 years

  • Patient placed back on routine cervical screening programme, to be seen again in 5 years

  • Patient referred to colposcopy, to be seen within 6-8 weeks

  • Patient referred to colposcopy, to be seen within 2 weeks

  • Patient referred to gynaecology for emergency admission

Explanation

Question 16 of 23

1

Select from the dropdown lists to complete the text.

During Colposcopy:
( Acetic Acid, Iodine, Methylene Blue, Congo Red ) applied to cervix turns both pre-malignant and malignant cells white in colour, thus allowing for visualisation.
( Iodine, Acetic Acid, Methylene Blue, Congo Red ) applied to cervix turns malignant cells dark brown in colour, but typically misses out some pre-malignant cells.

Explanation

Question 17 of 23

1

Select from the dropdown lists to complete the text.

Moderate Dyskaryosis is consistent with ( CIN II, CIN III, CIN I )
Severe Dyskaryosis is consistent with ( CIN III, CIN II, CIN I )

Explanation

Question 18 of 23

1

Fill the blank space to complete the text.

Abnormal cells noted on colposcopy generally warrant a biopsy to be taken whereby 2-3 samples are taken and sent for analysis. Local anaesthetic is not required for this procedure.

Explanation

Question 19 of 23

1

Select from the dropdown lists to complete the text.

Treatment based on results of Punch Biopsy:
CIN I: ( Invited for repeat smear in 1 year, Invited for repeat smear in 6 months, Invited for repeat smear in 2 years, Treatment to remove cells necessary )
CIN II: ( Treatment to remove cells necessary, Invited for repeat smear in 1 year, Invited for repeat smear in 2 years, Invited for repeat smear in 6 months )
CIN III: ( Treatment to remove cells necessary, Invited for repeat smear in 1 year, Invited for repeat smear in 2 years, Invited for repeat smear in 6 months )
CGIN: ( Treatment to remove cells necessary, Invited for repeat smear in 1 year, Invited for repeat smear in 6 months, Invited for repeat smear in 2 years )

Explanation

Question 20 of 23

1

Following abnormal colposcopy and biopsy, treatment for CIN II, CIN III or CGIN is typically conducted by which of the following procedures?

Select one of the following:

  • Loop Excision under local anaesthetic

  • Loop Excision under general anaesthetic

  • Cone Biopsy under local anaesthetic

  • Cone Biopsy under general anaesthetic

Explanation

Question 21 of 23

1

If there is a large area of abnormal cells needing to be removed such that the usual method of treatment cannot be utilised, which of the following should be conducted?

Select one of the following:

  • Loop Excision under local anaesthetic

  • Loop Excision under general anaesthetic

  • Cone Biopsy under local anaesthetic

  • Cone Biopsy under general anaesthetic

Explanation

Question 22 of 23

1

Fill the blank space to complete the text.

Any woman who has been treated as part of the cervical screening programme (punch biopsy, loop excision, cone biopsy, etc) is required to have another cervical smear test months following the treatment in order to make sure that the treatment was successful and that the abnormal cells have not returned.

Explanation

Question 23 of 23

1

If a woman is found to have HPV infected cells, she will be invited for her next cervical smear after 3 years (at the latest) irrespective of her age.

Select one of the following:

  • True
  • False

Explanation

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