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Nội dung text GYNE Pap Smear July 2025 (FOR SITRIBUTION).pdf



20th OBGYN ORAL EXAM REVIEW ORAL SIMULATION 3 Pia, 42 G7P6 (6016) was lost to follow-up and returned due to post coital spotting. She agreed to have co-testing done. Results showed the following: (+) HPV 16 (-) HPV 18 (-) Other HR types 4. What is the interpretation? ANSWER: □ Low grade squamous intraepithelial lesion □ HPV 16 positive 1 point 0.5 0.5 5. What is the next step in management? ANSWER: □ Colposcopy 1 point
20th OBGYN ORAL EXAM REVIEW ORAL SIMULATION 4 Pia underwent colposcopy with the finding of High Grade Lesion. Describe two colposcopic features appreciated in the following colposcopic photos. Normal Saline After acetic acid application After Lugol’s Iodine 6. Describe two colposcopic features appreciated in the following colposcopic photos ANSWER: □ Dense acetowhitening (12 o’ clock) □ Acetowitening with distinct/sharp borders □ Partial to no Lugol’s uptake 1 point 0.5 0.5 0.5 7. What are the treatment options? ANSWER: □ Cold Knife Conization (CKC) □ Loop Electrosurgical Excision Procedure (LEEP) 1 point 0.5 0.5

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