Data suggests that cervical cancer screening saves 1000 lives per year. It is, therefore, vital to advocate for and to give your patients the best information to make informed choices about their health. Straight from the hands of NICE CKS on Cervical Screening and Smear Tests, test your knowledge on some fundamental tenants of this success story …
Reviewed by: awaiting review
No referral is necessary
Screen every 10 years
Screen every 3 years
Screen every 4 years
Screen every 5 years
She can give oral assent to remove
She can give oral consent to remove
She can give written consent to remove
She would not be approached without opting-in by default
The test is mandatory.
Active menses period
A month after termination of pregnancy
Has suprapubic pain, amenorrhoea and vaginal spotting.
Is 67 with a recent moderate dyskaryotic finding
Within the puerperium period
The area is very smooth in appearance
The area is granular in appearance
The area is pale in appearance
The area is pink in appearance
The area is very shiny in appearance
Keep the appointment for next Tuesday
Reschedule the appointment for month seven
Reschedule the appointment for 1 month postpartum
Reschedule the appointment for 2 months postpartum
Reschedule the appointment for 3 months postpartum
Atypical cells are full thickness of the epithelium
Spread has occurred via the uterosacral ligament
The obturator nerve has been implicated in metastatic spread
Upper third of epithelium are normal, atypical cells occupy lower two thirds.
Upper two thirds of epithelium are normal with the basal third atypical.
Paraesthesia of the hypogastrium
Paraesthesia of the labia majus
Paraesthesia of the mons pubis
Paraesthesia of ASIS to lateral thigh
Paraesthesia of medial thigh
Pain in region A would be felt suprapubically
Region B is the most common site of implantation of the blastocyst
Region C is the external os of the cervix
Region D contains three layers of columnar epithelium
Region E is the site that must be sampled on speculum examination for a "pap" smear
Region F partially drains into the iliac lymphatics
Some key points to remember about screening:
- Generally the invite should be sent out by 24.5YO
- There should be an invite every three years between 35-49YO
- There should be an invite every five years between 50-64YO
- At age 64 routine C-screening should stop.
- A vaccine for HPV should be offered to all 12-13YO females.
- CIN grading is on the basis of how invasive the dyskaryosis is: from basal, to basal + mid to basal + mid + superficial as CIN 1, 2 and 3 respectively. At the point of CIN 3, this is in situ carcinoma. When the basement membrane is compromised we are in the maligiant phase.
Spotted an error?
- BMJ Best Practice – https://bestpractice.bmj.com
- Cancer Research UK – https://www.cancerresearchuk.org/about-cancer/cervical-cancer/getting-diagnosed/screening/about
- NHS Direct – https://www.nhs.uk/conditions/cervical-screening/why-its-important/
- NICE CKS – https://cks.nice.org.uk/topics/cervical-screening
- Gynaecology Illustrated (6thEd) – https://www.elsevier.com/books/gynaecology-illustrated/bain/978-0-7020-3067-3?aaref=https%3A%2F%2Fwww.google.com