Cervical Cancer Screening

1. A 36 year old woman has had her cervical smear. It shows moderate dyskaryosis. She subsequently had a colposcopy and a loop excision of transformation zone (LETZ) procedure. The histopathology shows negative margins. What will be your further plan of management?

2. A 35-year-old woman attends for her cervical screening appointment. You have tried to do the smear, but you failed because of severe cervical stenosis resulting from traumatic surgery six years previously. Her first two smear results were normal. What will be your next step?

3. Using high-risk HPV as the primary screening test is an attractive option for countries with existing cervical screening programmes. Compared to liquid-based cytology for detection of borderline changes or worse, HPV primary screening is:

4. A 27-year-old woman has had her cervical screening hrHPV test positive and cytology reported as borderline. What will be your plan of management?

5. A 31-year-old woman has had a LETZ procedure for cervical glandular intraepithelial neoplasia (CGIN). The histopathology result showed negative margins. Six months later the repeat cervical smear for HPV test-of-cure is positive. What will be your next management?

6. A 40-year-old woman has had her cervical smear taken on day 14 of her menstrual period. The result shows no abnormality but there were normal endometrial cells in the sample. She has a history of bilateral tubal ligation. What will be your further management?

7. A 39-year-old woman has had the LETZ procedure for high-grade dyskaryosis. The histopathology result shows CIN3 with positive margins. What will be your further management?

8. A 30-year-old woman attends the colposcopy clinic after a high-grade smear result. After discussion, the woman accepts the LETZ procedure. What is the minimum depth of excision that is accepted in the LETZ procedure?