USMLE Forum Archives - USMLE Step 3 - pap smear
pap smear
bingousmle - 05-17-10 07:47
20 years lady came to family physician that recently her boy friend was diagoned with HPV infection.She is worried that it is associated with Cx ca. you did the PAP that shows normal. what do you want to do next
a) Advice for using condom
b)Re evaluate her boy friend
c) Colposcopy
d)Serology for HPV on her
e)PAP after I year
bingousmle - 05-17-10 07:47
20 years lady came to family physician that recently her boy friend was diagoned with HPV infection.She is worried that it is associated with Cx ca. you did the PAP that shows normal. what do you want to do next
a) Advice for using condom
b)Re evaluate her boy friend
c) Colposcopy
d)Serology for HPV on her
e)PAP after I year
The correct answer and explanation will be available after you answer.
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#4
Re: pap smear
babbu5508 - 05-25-10 03:14 My answer is: e.
ou did the PAP that shows normal. what do you want to do next...as the pap is normal, u advice the patient to come back for a pap next year
#6
Re: pap smear
bingousmle - 05-25-10 07:39 
posted by babbu5508 on 05-25-10 03:15
r u sure about the answer??
r u sure about the answer??

yes
#8
Re: pap smear
babbu5508 - 05-25-10 16:53 
posted by bingousmle on 05-25-10 07:39
yes
yes

but the pap smear is normal...so there is no indication for colposcopy...rather wait for an year or do HPV testing..
#16
Re: pap smear
bobudevi - 09-29-10 15:55 If PAP smear is normal, why would we go for colposcopy? Could ypu please give some reference. Q is asking about the next management?
#17
Re: pap smear
babbu5508 - 09-30-10 00:29 yeah agree with bobudevi...colposcopic directed biopsies are indicated in cases with an abnormal pap smear...rather HPV testing may be right...
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