EBCOG P1-3 months May 202-Oncology- Day 1 EMQ

1. A 38-year-old woman attends her GP surgery for a routine cervical cytology after primary screening being positive for hrHPV test. Cytological triage shows the result as ASCUS. She wants to know the definitive diagnosis?

2. A 35-year-old woman attends her GP surgery after primary screening being positive for hrHPV test, for a cervical cyotology and her result of HSIL, is returned.

3. A 35-year-old woman attends her GP surgery after primary screening being positive for hrHPV test, for a cervical cyotology and her result of HSIL. She undergoes colposcopic directed biopsy which upheld the diagnosis as HSIL. What is the further management?

A. Advise to stop smoking
B. No need for follow up
C. Repeat smear in 1 year
D. Repeat smear in 2 years
E. Repeat smear in 3 years
F. Repeat smear in 5 years
G. Repeat smear in next couple of weeks
H. Refer to colposcopy
I. Refer to genitourinary medicine or sexual health clinic
J. Urgent referral for suspected cancer to colposcopy '2-week wait'

For each of the following cases, select the most appropriate next management step. Each option may be used once, more than once or not at all.

4. A 33-year-old woman was called for routine recall for her smear, however the sample was inadequate. She is a smoker.

5.A 40-year-old woman has a smear which is reported as borderline but is HPV positive.

6.A 48-year-old woman has a smear showing possible glandular disease.

A. No action necessary
B. Perform cervical cytology
C. Perform cervical cytology in 3 years’ time
D. Perform colposcopic guided biopsy
E. Perform human papillomavirus (HPV) at 12 months follow-up.
F. Perform HPV triage testing
G. Refer to gynaecologist
H. Repeat cervical cytology in 3 months’ time
I. Repeat cervical cytology in 16 months’ time
J. Return to routine recall
K. Excision procedure.

For each of the following clinical scenarios, what is the most appropriate management from the list above? Each option may be used once, more than once or not at all.

7. A 38-year-old woman attends her GP for a routine cervical cytology after primary screening being positive for hrHPV test. Cytological triage is negative for any abnormality. What is the next step in her management?

8.A 38-year-old woman attends her GP for a routine cervical cytology after primary screening being positive for hrHPV test. Cytological triage is negative for any abnormality. She underwent HPV repeat test at 12 months which was reported negative. What is the next step in her management?

9.A 38-year-old woman attends her GP for a routine cervical cytology after primary screening being positive for hrHPV test. Cytological triage is negative for any abnormality. She underwent HPV repeat test at 12 months which was reported positive. What is the next step in her management?

10.A 38-year-old woman attends her GP for a routine cervical cytology after primary screening being positive for hrHPV test. Cytological triage is negative for any abnormality. She underwent HPV repeat test at 12 months which was reported positive and cytology as negative. What is the next step in her management?

11.A 38-year-old woman attends her GP for a routine cervical cytology after primary screening being positive for hrHPV test. Cytological triage is negative for any abnormality. She underwent HPV repeat test at 12 months which was reported positive and cytology as ASCUS. What is the next step in her management?