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Pap smear findings
Pap smear findings
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1
What are the 2 main categories for specimen adequacy in the Bethesda system?
Satisfactory & Unsatisfactory
Malignant & Benign
Atypical & Normal
Carcinoid & Adenoma
2
What is the Bethesda system?
Standardized system to interpret and report Pap smear results.
Vaginal cytology abnormality grading system
A game development company system
HPV grading evaluation
3
What is this characteristic of?
Mild dysplasia
Severe dysplasia
Moderate dysplasia
Normal Pap smear
4
How is the term Atypical Glandular Cells (AGC) further categorized?
Based on the degree of dysplasia
Based on Bethesda
Based on the origin of cells
Based on invasion into skin layers.
5
The presence of ____ in a pap smear indicates adequate sampling.
more than 100 cells
glandular endocervical cells
stratified squamous epithelium
clustered epithelial cells
6
Which layer of the epithelium does HPV infect?
stratum basale
stratum granulosum
stratum corneum
stratum spinosum
7
What is this characteristic of?
No intraepithelial lesion or malignancy (NILM)
Low-Grade Squamous Intraepithelial Lesion (LSIL)
High-Grade Squamous Intraepithelial Lesion (HSIL)
Atypical Glandular Cells (AGC)
8
What is the difference between LSIL and HSIL?
LSIL: moderate to severe dysplasia, HSIL: mild dysplasia, HPV changes
LSIL: HPV changes, mild dysplasia, HSIL: moderate to severe dysplasia
LSIL: high grade SCC, HSIL: atypical SCC of undetermined significance
LSIL: atypical SCC of undetermined significance, HSIL: high grade SCC
9
What are the next steps when someone shows LSIL on a Pap smear over age 25?
Immediate cervical biopsy to rule out cancer
Repeat the Pap smear test to confirm the result
HPV testing, colposcopy to evaluate cervix for lesions
Monitor and repeat Pap smear in 1 year