2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
◉ When does HPV usually regress? Answer: 1-2 years
◉ At what age should Pap smears be started? Answer: 21
◉ What cervical cancer screening is done from age 21-29? Answer:
cytology every 3 years
◉ What cervical cancer screenings are done at age 30-65? Answer:
cytology alone very 3 years or *preferred* co-testing (HPV and pap)
every 5 years
◉ What is considered high-grade precancerous lesion? Answer: CIN
2 or 3
◉ What should you get patient's to sign (especially younger
patients) when providing counseling on oral contraceptives?
Answer: an informed consent and disclosure sheet that covers
possible side effects warning signs, drug interactions, and what to do
if you forget one or two pills
,◉ What are warning signs for oral contraceptives? Answer: ACHES-
Abd. pain (thrombosis), chest pain (PE or MI), Headaches (stroke),
eye problems (thrombosis), or severe leg pain (thrombosis)
◉ How long is a back-up method recommended when starting oral
contraceptives? Answer: 7 days
◉ What are the most common side effects of oral contraceptives?
Answer: nausea and fatigue
◉ When should OCs be started with a Sunday start? Answer: The
Sunday following the start of menses
◉ What OC start method had the highest continuation rate? Answer:
Quick start- start on the day of office visit.
◉ When should a urine preg test be done when using the quick start
method? Answer: if > 5 days since last menses and unprotected sex
◉ What patient education should be done for the first 3-6 months
on patients starting OC? Answer: expect breakthrough bleeding, take
at same time everyday, taking in the evening can minimize side
effects
, ◉ How often do women have menses on an extended cycle pill?
Answer: once every 3-12 months
◉ Medication strength for combination pills should not be greater
than what? Answer: 1/35 (progestin/estrogen)
◉ Patients with a family history of what should get tested before
beginning oral contraceptives? Answer: clotting disorders (Factor V
Leiden)
◉ Patients with a family history of _____ before age _____ need to be
evaluated by a specialist before starting OCPs Answer: CVD; 50
◉ Patients with heavy bleeding should get what test before OCP
start? Answer: platelet function test to r/o bleeding disorder
◉ What type of OCP should be prescribed for women with estrogen
sensitivity? Answer: progestin-only pills or combination pills with
20mcg of ethinyl estradiol
◉ What usually causes premenstrual migraines? Answer: drop in
estrogen