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Cervical Pap Smear

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Topic updated on 01/06/16 2:13pm

Introduction
  • Screening test
    • can detect squamous dysplasia and cancer
    • can evaluate patient's sex hormones
      • superficial squamous cells
        • indicates full mucosal surface maturation and therefore the presence of estrogen
        • high estrogen without progesterone results in 100% superficial squamous cells
      • intermediate squamous cells
        • indicates presence of progesterone
        • high progesterone in pregnancy results in 100% intermediate cells
      • parabasal cells
        • indicates lack of estrogen and progesterone
        • seen in elderly women
  • Process
    • must sample transition zone between endo (columnar) and exo (squamous) cervix 
    • smear must show presence of columnar cells to prove that transition zone was reached


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Qbank (1 Questions)

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(M1.RP.71) A 36-year-old G2P2 female visits her gynecologist for a follow up visit. On her previous visit, a routine Pap smear demonstrated findings which required further testing with colposcopy. During the colposcopy, the gynecologist obtains a biopsy from the ectocervix. Which of the following figures is representative of the normal epithelium found in the ectocervix? Topic Review Topic
FIGURES: A   B   C   D   E  

1. Figure A
2. Figure B
3. Figure C
4. Figure D
5. Figure E

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