Archives: Medical Student Finals

MSFinals-1935

A 32-year-old woman has reached out for a phone consultation to discuss her recent cervical smear test results. She underwent the routine screening programme and is currently not experiencing any symptoms. Her last cervical smear was conducted 2 years ago and was reported as normal. She has not received the human papillomavirus (HPV) vaccination. The results of her recent test are as follows: High-risk human papillomavirus (hrHPV) – POSITIVE and Cytology – ABNORMAL (high-grade dyskaryosis). What would be the next course of action in managing her condition?

MSFinals-1936

A 27-year-old woman presents to her doctor to discuss the results of her recent cervical smear. She is sexually active with one partner for the past 6 months and denies any history of sexually transmitted infections or post-coital bleeding. The results of her cervical smear show low-grade dyskaryosis and a positive human papillomavirus test. What is the next best course of action for this patient?

MSFinals-1937

A 55-year-old woman visits her GP for a routine smear test and is found to be HPV positive. A follow-up cytology swab reveals normal cells. She is asked to return for a second HPV swab after 12 months, which comes back negative. What is the next appropriate step in managing this patient?

MSFinals-1938

Emma is a 27-year-old woman who recently underwent cervical screening. She has no significant medical history and is currently in good health. However, her screening results have come back positive for high-risk human papillomavirus (hrHPV) and her cervical cytology is inadequate. What would be the most suitable course of action to take next?

MSFinals-1939

Samantha is a 30-year-old woman who underwent cervical cancer screening 3 years ago. The result showed positive for high-risk human papillomavirus (hrHPV) with normal cervical cytology. She was advised to have repeat testing after 12 months.

After a year, Samantha had another screening which showed that she still tested positive for hrHPV with normal cytology. She was scheduled for another screening after 12 months.

Recently, Samantha had her third screening and the result showed that she remains hrHPV positive with normal cytology. What is the most appropriate next step?

MSFinals-1940

A 35-year-old woman visits her doctor for a routine cervical screening. The results of her smear test show that she is positive for hrHPV (high-risk human papillomavirus), but her cytology is normal. She is advised to come back for another smear test in a year’s time. When she returns, her results show that she is still positive for hrHPV, but her cytology is normal. What is the best course of action for her management?

MSFinals-1941

A 49-year-old woman visits her GP for a routine cervical smear. Later, she receives a phone call informing her that the smear was insufficient. She recalls having an inadequate smear more than ten years ago.

What is the correct course of action in this situation?

MSFinals-1942

A 29-year-old woman has received her cervical screening report and wants to discuss it with you. Her last smear was 2 years ago and showed normal cytology and negative HPV. However, her latest report indicates normal cytology but positive HPV. What should be the next course of action?

MSFinals-1943

A 35-year-old woman presents for her routine cervical smear. The GP informs her that the result is positive for high-risk human papillomavirus (hrHPV) and schedules a follow-up smear in 12 months. At the second smear, the same result is obtained, and the GP schedules another follow-up smear in 12 months. However, at the third smear (now 37 years old), the hrHPV result is negative. The patient has no significant medical or family history.

What is the most appropriate course of action?

MSFinals-1944

A 55-year-old woman visits her GP clinic for a routine cervical smear. After receiving an initial high-risk human papillomavirus (hrHPV) result, she is scheduled for a follow-up smear in 12 months. During the subsequent smear, she is informed that the hrHPV result is now negative. She has no significant medical history. What is the best course of action for her management?