The Treatment Methods For Cervical Intraepithelial Neoplasia

The Treatment Methods For Cervical Intraepithelial Neoplasia
The Treatment Methods For Cervical Intraepithelia Neoplasia
1. further management of a high-grade
squamous intraepithelial lesion indudes:
A. Colposcopy and biopsy.
B. Cryotherapy.
C. Excision if CIN2 orCIN 3isconfirn1ed.
D. Hysterecton1y as the first-line treatment.
E. Testing for high-risk huo1an papilloma
virus types a~ the first-line n1anagen1ent
The Treatment Methods For Cervical Intraepithelia Neoplasia
2. Further management of a low-grade
squamous intraepithelial lesion indudes:
A. Colposcopy.
B. Hysterecton1y as the first-line treatmen t in a woman who has completed
the family.
C. ()bservation with repeat cytology
and HPV DNA testing after I year if
colposcopy reveals CIN 1.
0. Observation with repeat cytology in
6 months in adolescent~.
E. Testing for high-ri~k huo1an papilloma
virus types as the first-line n1anagen1ent
3. Further treatment of ON 2 includes:
A. Excision 6 n1onths after the delivery in
a pregnant woman.
B. Excision in a 22-year old won1an.
C. Excision in a non-pregnant won1an.
D. Follow-up with a repeatcolposcopyin
a 65-yea r old won1an.
E. Hysterectomy as the first-line treatment
in a woman who has con1pleted the
fao1ily.
Ref for questions 3-8:
• ACOG .Releases Guilfelines for Mmragement of
Abnormal Cervical Cytology mu/ Histology Ct1rrie
A. Momrrt Am Fam l’hysicitm. 2()()6 Feb 15.
• ASCCP Uptlated Consensus Guidelines for
Managing Abnormal Cervical Cm,cer Screening
Tois and Cancer PreL1lr5’JrS (with 1llgarithms).
• SBA Questions in gynaecology, chapter 7,
pages 72- 73.
4. Which of the following is true regarding
the treatment methods for cervical
intraepitheliaJ neoplasia?
A. Cryotherapy L, performed for atypical
squamouscellsofunknownsignific.mce.
B. Cryotherapy is perforn1ed if the
entire lesion and the squamocolumnar
junction are visible.
C. Loop electrosu rgical excision an d
knife cone biopsy allow histological
examination of excised tissue.
D. Loop electrosurgical excision is perforo1ed for CJN 2 and CJN 3.
E. Loop electrosurgical exci,ion is performed for stage 1 A2 ceivical carcinoma.
The Treatment Methods For Cervical Intraepithelia Neoplasia
5. Complications of loop eJectrosu.rgical
excision indude:
A. Cervical incompetence.
B. Cervical stenosis.
C. In ability to perform histological
examination on excised tissue.
·o. Intraoperative bleeding.
E. Secondary haen1orrhage.
6. Complications of cold knife conisation
include:
A. Cervical incompetence.
B. Cervica I stenosi~.
C. Inability to perform histological
exan1ination on excised tissue.
0. Tntraoperative bleeding.
F.. Secondary haen1orrhage.
7. When treating cervical intraepithelial
neoplasia with cryotherapy:
A. A lesion extending to the endocervicaJ
canal can be cauteri,ed.
B. Histological examination is not possible.
C. The entire lesion and the squan1<1-
colunmar junction should be visible.
·o. The entire lesion is excisf.-d.
E. The lesion should not be larger than
the area of the cryoprobe.
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