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FNP Family Nurse Practitioner Exam Prep

Category - Women's Health Nurse Practitioner

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What is the ASCCP recommended management for an ASCUS (atypical squamous cells of undetermined significance) pap result with a positive high risk HPV 16 cotest in a 26 year old woman without a history of abnormal pap smears?
  1. Colposcopy
  2. LEEP (loop electrosurgical excision procedure)
  3. Repeat pap and HPV cotesting in one year
Explanation
Answer: A - The ASCCP guidelines recommend colposcopy for the management of an ASCUS (atypical squamous cells of undetermined significance) pap result with a positive high risk HPV 16 cotest in a 26 year old woman without a history of abnormal pap smears.

This result carries a 7.1% 5-year risk of CIN 3. A LEEP or other excisional procedure is reserved for biopsy-confirmed CIN 2-3 or greater. Repeating the pap and HPV cotest at any later date may delay diagnosis and treatment.
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