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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