1). Cervical cancer screening guideline for patient 21-30 y/o
Ans: pap every 3 years
AND
HPV when pap ASCUS
2). Cervical cancer screening guideline for patient 30-65 y/o
Ans: cotesting pap/HPV every 5 years
OR
pap alone every 3 years
*we can genotype HPV if pap is neg but HPV is pos
3). Cervical cancer screening guideline for patient 65+ years old
Ans: none if adequate hx of negative testing and no hx of CIN2 or more
4). Follow-up for
pap normal hpv negative
Ans: routine screening
5). Follow-up for
pap normal hpv positive
Ans: repeat screen 1 year
6). Follow-up for
pap ascus hpv negative
Ans: routine screening
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, 7). Follow-up for
pap ascus hpv positive
Ans: repeat screen 1 year
8). Follow-up for
pap lgsil
Ans: repeat screen 1 year
9). Follow-up for
pap asch
Ans: colpo
10). Follow-up for
pap hgsil
Ans: colpo
11). Follow-up for
pap agus
Ans: colpo with endometrial biopsy
12). Acog guidelines mammogram (most aggressive)
Ans: start at 40, annual
13). Sxs of hyperthyroid
Ans: heat intolerance
hair loss
bulging eyes
goiter?
tachycardia
weight loss
diarrhea
periods less often
14). Sxs hypothyroid
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