Guidelines for the Well-Woman Exam - CME Conferences
Guidelines for the Well-Woman Exam - CME Conferences Guidelines for the Well-Woman Exam - CME Conferences
2 nd Annual Primary Care Fall Conference Wednesday, October 24, 2012A.R.S.: Which of the followingis NOT a feature of the currentrecommendations for cervicalCA screening ? A. Defer initial screen until age 21irrespective of age at onset of sexualactivity B. IF HPV screen is negative in a 25year old, defer next screen for 5 years C. Discontinue screening after age 65 ifno CIN 2+ in the previous 2 decadesA.R.S: The incidence ofcervical CA among women< 21 years old is A. 1--2 / 10,000 young women B. 1—2 / 100,000 young women C. 1—2 / million young womenDavid Plourd, MDWomen Exam
2 nd Annual Primary Care Fall Conference Wednesday, October 24, 2012A.R.S: If an 18 y/o adolescentjust received the HPV vaccineseries, how are the ASCCP Papsmear screening guidelinesdifferent for her, over the nextseveral years ? A. Defer her initial Pap until 25 y/o B. After 3 consecutive negative Paps,she may space her screening intervalto q 5 years, having been vaccinated C. No differences in screening2012 ACOG Screening• Begin Paps at age 21 regardlessof age at onset of sexual activityor other “risk factors” Age 21—29-- Cytology [alone] q 3 yrs Age 30--65 Cytology alone q 3 yrs Preferred: Co-screening [with HPV-HRDNA testing] if neg HPV co-screen,re-screening q 5 years– ACOG Press Release, Mar 14, 2012David Plourd, MDWomen Exam
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2 nd Annual Primary Care Fall Conference Wednesday, October 24, 2012A.R.S.: Which of <strong>the</strong> followingis NOT a feature of <strong>the</strong> currentrecommendations <strong>for</strong> cervicalCA screening ? A. Defer initial screen until age 21irrespective of age at onset of sexualactivity B. IF HPV screen is negative in a 25year old, defer next screen <strong>for</strong> 5 years C. Discontinue screening after age 65 ifno CIN 2+ in <strong>the</strong> previous 2 decadesA.R.S: The incidence ofcervical CA among women< 21 years old is A. 1--2 / 10,000 young women B. 1—2 / 100,000 young women C. 1—2 / million young womenDavid Plourd, MDWomen <strong>Exam</strong>
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