MSFinals-1949

A 28-year-old female undergoes a cervical smear test as part of the UK cervical cancer screening programme. Her results come back as hrHPV positive. Upon cytological examination, normal cells are observed. Following guidelines, the cervical smear test is repeated after 12 months, which still shows hrHPV positivity. Cytology is repeated, and once again, normal cells are observed. What is the best course of action?

MSFinals-1950

A 42-year-old female undergoes a cervical smear at her local clinic as part of the UK cervical screening programme. Her result comes back as an ‘inadequate sample’. What should be done next?

MSFinals-1951

A 27-year-old female receives a cervical smear test through the UK cervical screening programme and is found to be hrHPV positive. However, her cytological examination shows no abnormalities. What is the best course of action to take?

MSFinals-1952

A 27-year-old woman participates in the UK cervical screening programme and receives an ‘inadequate sample’ result from her cervical smear test. After a repeat test 3 months later, she still receives an ‘inadequate sample’ result. What should be done next?

MSFinals-1953

A 62-year-old woman comes to the clinic with a complaint of postmenopausal bleeding that has been going on for a month. She takes aspirin 75 mg once daily as her only medication. An ultrasound scan of the uterus reveals an endometrial lining thickness of 4.1 mm. Although an endometrial pipelle biopsy was performed, it was inconclusive. What should be the next course of action?

MSFinals-1954

A 18-year-old woman presents to the specialist clinic for insertion of an intrauterine system (IUS). During the procedure, the clinician observes scarring around the anterior genital area and an absent clitoris. Upon further discussion, the patient reveals that she underwent surgery during a family trip abroad about 8 years ago, but cannot recall the specifics. She expresses contentment with the situation and declines any further investigation or involvement of law enforcement. What should be the clinician’s next course of action?

MSFinals-1955

A 32-year-old woman is scheduled for a routine cervical smear. After the test, the practice contacts her to let her know that the laboratory has reported the sample as ‘inadequate’. She is asked to come back for a repeat smear. However, the second sample is also reported as ‘inadequate’ by the laboratory.

What is the recommended course of action now?

MSFinals-1956

A 27-year-old woman presents for cervical cancer screening and her results indicate positive high-risk HPV and low-grade dyskaryosis on cytology. What should be the next course of action?

MSFinals-1957

Sarah is a 28-year-old woman who underwent cervical cancer screening 12 months ago and the result showed positive for high-risk human papillomavirus (hrHPV) with a negative cytology report.

She has now undergone a repeat smear and the result is once again positive for hrHPV with a negative cytology report.

What would be the most suitable course of action to take next?

MSFinals-1934

A 50-year-old woman visits her GP to receive the results of her recent cervical smear. Her two previous smears, taken 18 and 6 months ago, were positive for high-risk human papillomavirus (HPV) but showed no abnormal cytology. The GP informs her that her most recent cervical smear also tested positive for high-risk HPV. What is the best course of action for managing this patient?