A speculum is an:
instrument the physician uses to open the vagina and view the cervix
What is the structure that opens into the vagina, and is
... [Show More] indicated in the image shown?
external os
Before the pelvic exam and Pap smear are performed by the physician, you should discuss the following relative contraindications with the patient to ensure that the Pap smear is accurate:
the use of vaginal creams, spermicidal jelly, or douches, or vaginal intercourse within the last 24 hours
You have confirmed the patient's details and obtained the patient's history. To complete the patient preparation, you should:
explain the procedure to the patient and obtain verbal consent
The last menstrual period (LMP) is the:
date of the start of the last menstrual period
You have assisted the physician to transfer a specimen to a glass slide. The next step is:
to spray the slide immediately with cytological spray and allow it to stand for 4 to 7 minutes
What is the structure indicated in the image shown?
lobule
When preparing the equipment for a standard Pap smear test, you must:
assemble a dry slide and fixative spray, then label the frosted end of the slide with a permanent marker
The physician is about to perform the pelvic exam and Pap smear. The first instrument you pass to the physician will be:
a speculum
The cytobrush is a sampling device:
with a small cone-shaped brush that is used to sample cells from the endocervix
A 35-year-old woman had abnormal screening results in her Pap test. This patient should be advised that:
she may need a follow up Pap test within the next 6 to 12 months
A sexually active 21-year-old woman has come to the physician for her first Pap smear. After this examination, if her results are normal, when should she have her next one done?
in 3 years
The mons pubis refers to the:
mound of fatty tissue that lies anterior to the symphysis pubis
A 21-year-old woman is nervous about her internal exam and Pap smear. To calm her, you suggest relaxation techniques such as deep breathing exercises:
which help relax the abdominal and pelvic muscles and reduce discomfort during the test
The Papanicolaou (Pap) smear test is:
a screening test that can detect pre-cancerous and cancerous changes in the cervix
What is the structure indicated in the image shown?
cervix
The external structures of the female genitalia are collectively known as the:
vulva
A 40-year-old woman has just finished a course of broad-spectrum antibiotics containing tetracycline. She should be advised that:
tetracycline may interfere with the Pap smear results, and the test should be rescheduled
A 42-year-old woman who smokes is due for her Pap smear. She should be advised that cigarette smoking:
increases the risk of developing cervical cancer
The physician has performed a cervical smear and asks you to transfer the specimen from the spatula using a liquid-based test. Next, you should:
quickly swirl the spatula vigorously a minimum of 10 times in a liquid medium, to release the cells
The cervical brush is a sampling device:
with a broom head designed to collect cells from the ectocervix and endocervix simultaneously
For the pelvic exam and Pap smear, the patient should be in the:
lithotomy position
The standard Pap smear test:
is prepared by fixing the specimen to a glass slide before it is sent to the laboratory
The physician has collected a specimen from the patient's cervix with a cytobrush and asked you to prepare a glass slide. To transfer the specimen from the cytobrush to the glass slide, you:
roll the brush across the glass slide
The physician has finished examining the patient for lumps or masses in her breast tissue. You should then instruct the patient on how to:
perform a self-examination at the end of each monthly menstrual cycle
A 45-year-old patient with a history of normal Pap smears had a hysterectomy (where her uterus and cervix were removed) for benign reasons. Advise her that:
she may choose to stop having Pap smears
A 30-year-old woman with a history of high-grade cervical dysplasia is due for her Pap smear. The physician will:
perform a liquid-based Pap test to reduce the possibility of an inaccurate result [Show Less]