Case 15.12

A 31-year-old nulligravid single female presents for an annual examination. She has no gynecologic concerns, and her last menstrual period was 3 weeks ago. She uses oral contraception and has regular cycles. Her examination is unremarkable. The Pap smear returns with high-grade squamous intraepithelial neoplasia (HSIL).

Question 1 of 8

A 31-year-old nulligravid single female presents for an annual examination. She has no gynecologic concerns, and her last menstrual period was 3 weeks ago. She uses oral contraception and has regular cycles. Her examination is unremarkable. The Pap smear returns with high-grade squamous intraepithelial neoplasia (HSIL).

You notify her of the Pap smear findings and explain this indicates:

A - She has cervical cancer 

B - She needs further diagnostic testing including colposcopy and possible biopsy 

C - She needs treatment with cryotherapy or laser ablation 

D - She should have the Pap smear repeated in 3 to 4 months

E - She should be enrolled in a hospice program

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