1) A Pap smear reveals the findings. Diagnosis? a) Chlamydia b) Clue cells c) Koilocytes d) Trichomonas 2) A Pap smear reveals the findings. What is next appropriate step?? a) See her in 6 months b) See her in 1 year c) Schedule for biopsy d) Schedule for hysterectomy 3) A patient had an abnormal Pap smear and undergoes a cervical biopsy. Diagnosis? a) LSIL b) HSIL 4) A patient had an abnormal cervical biopsy. Cause? a) HPV, type 6 b) HPV, type 11 c) HPV type 18 5) A patient had an abnormal Pap smear and undergoes a cervical biopsy. Dysplasia affects lower 1/3 epithelium. Diagnosis? a) LSIL b) HSIL 6) A patient had an abnormal Pap smear and undergoes a cervical biopsy. Which is correct? a) Viral genome integrates into the host genoma b) Viral genome exists as an episome c) Viral oncoprotein E6 inhibits RB d) Viral oncoprotein inhibits p53 7) 24yo patient has LSIL noted on Pap smear last year. She is here for repeat Pap smear. Results of latest Pap smear is normal. How would you explain to patient? a) A majority of this her CIN can progress b) A majority of her CIN can regress c) Pap smear & HPV strain in 5 years d) Perform colposcopy to ensure all lesion is gone 8) You receive a cervical biopsy pathology report which states dysplasia extends from the basal layer to the inner 1/2 width of epithelium. Diagnosis? a) LSIL/CINI b) HSIL/CINII c) HISL/CINIII d) Invasive carcinoma 9) A LEEP excision report shows presence of a moderately-differentiated squamous cell carcinoma. Which of the following histologic features would also be present? a) Keratin pearls b) Mucin-secreting columnar cells c) Psamomma bodies d) Secretory granules

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