USMLE Forum Archives - USMLE Step 3 - OBG: Pap smear
OBG: Pap smear
meduploader - 06-08-09 16:21
A healthy, 29-year-old African-American woman comes to the physician for a routine health maintenance examination. She has a history of migraine headaches. She has been smoking one pack of cigarettes daily for the last three years. She drinks alcohol only on weekends. Her father died of colon cancer at the age of 50, and her mother is diabetic. She is currently taking no medications. Her vital signs are within normal limits. Examination shows no abnormalities. Her annual pap smear shows high-grade squamous intraepithelial lesion (LSIL). Satisfactory colposcopy examination confirms CIN II. Which of the following is the most appropriate next step in the management of this patient?
meduploader - 06-08-09 16:21
A healthy, 29-year-old African-American woman comes to the physician for a routine health maintenance examination. She has a history of migraine headaches. She has been smoking one pack of cigarettes daily for the last three years. She drinks alcohol only on weekends. Her father died of colon cancer at the age of 50, and her mother is diabetic. She is currently taking no medications. Her vital signs are within normal limits. Examination shows no abnormalities. Her annual pap smear shows high-grade squamous intraepithelial lesion (LSIL). Satisfactory colposcopy examination confirms CIN II. Which of the following is the most appropriate next step in the management of this patient?
The correct answer and explanation will be available after you answer.
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#19
Re: OBG: Pap smear conym5 - 04-09-10 15:36 LEEP is preferred because of its low cost, accuracy, and easiness to perform. It is a very successful procedure and can be performed in an office setting.
#23
Re: OBG: Pap smear babbu5508 - 08-31-10 00:42 My answer is: e.
large loop excision to be done to remove the effected area...cin II represents that 2/3rd of the cervical epithelium is involved...
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