Cervical Cancer Screening & Colposcopy

What is the most common cancer in women under the age of 35? [blank_start]Cervical[blank_end] cancer

In the UK, women are offered cervical screening once the turn which age? [blank_start]25[blank_end]

How often are women of the following ages offered cervical screening? 25 - 49 = [blank_start]Every 3 years[blank_end] 50 - 65 = [blank_start]Every 5 years[blank_end]

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

[blank_start]Coverage of Screening Test[blank_end] = Number of people being screened / number of eligible people [blank_start]Uptake of Screening Test[blank_end] = Number of people being screened / number of people invited to be screened

Which strains of HPV are known to cause Cervical cancer?

Which condition is typically caused by HPV strains 6 and 11? [blank_start]Genital warts[blank_end]

Females are currently vaccinated against HPV at what age?

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

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

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

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

Which of the following applies to the cervical smear result? 59 year old patient. Borderline/Mild Dyskaryosis noted on smear, positive for HPV

Which of the following applies to the cervical smear result? 29 year old patient. Borderline/Mild Dyskaryosis noted on smear, negative for HPV

Which of the following applies to the cervical smear result? 45 year old patient. Moderate/Severe Dyskaryosis noted on smear.

During Colposcopy: [blank_start]Acetic Acid[blank_end] applied to cervix turns both pre-malignant and malignant cells white in colour, thus allowing for visualisation. [blank_start]Iodine[blank_end] applied to cervix turns malignant cells dark brown in colour, but typically misses out some pre-malignant cells.

Moderate Dyskaryosis is consistent with [blank_start]CIN II[blank_end] Severe Dyskaryosis is consistent with [blank_start]CIN III[blank_end]

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

Treatment based on results of Punch Biopsy: CIN I: [blank_start]Invited for repeat smear in 1 year[blank_end] CIN II: [blank_start]Treatment to remove cells necessary[blank_end] CIN III: [blank_start]Treatment to remove cells necessary[blank_end] CGIN: [blank_start]Treatment to remove cells necessary[blank_end]

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

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?

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 [blank_start]6[blank_end] months following the treatment in order to make sure that the treatment was successful and that the abnormal cells have not returned.

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.