Jul 18, 2013
90
3
Status
Medical Student
Questions

1. What if a pt had herpes during the 2nd trimester, can you give them acyclovir in pregnancy is it safe?

2. What if a pt had herpes during the 2nd trimester and was treated no lesions, at term delivery with no active disease can you do a normal vaginal delivery or do you need to give acyclovir and/or do a c-sec?

3. Amenorrhea leads to increased risk for which cancer? Endometrial, breast, or ovarian?



4.A 27 yo nulligravid women comes with HGSIL, prior pap smears show no abnormalities, exam of cervix and vagina shows no gross abnormalities,, what do you do next

I choose HPV testing ---wrong

A. Repeat pap smear,
B. HPV testing
C. Colpospcy
D. Cone biopsy of the cervix
E. Random cervical biopsies
 
Apr 8, 2014
8
0
3- if amenorrhea is 2ry to PCOS then it will increase r/o endometrial ca

4- if not b then its c
 

ChessMaster3000

7+ Year Member
Mar 7, 2010
739
218
Status
Questions

1. What if a pt had herpes during the 2nd trimester, can you give them acyclovir in pregnancy is it safe?

2. What if a pt had herpes during the 2nd trimester and was treated no lesions, at term delivery with no active disease can you do a normal vaginal delivery or do you need to give acyclovir and/or do a c-sec?

3. Amenorrhea leads to increased risk for which cancer? Endometrial, breast, or ovarian?



4.A 27 yo nulligravid women comes with HGSIL, prior pap smears show no abnormalities, exam of cervix and vagina shows no gross abnormalities,, what do you do next

I choose HPV testing ---wrong

A. Repeat pap smear,
B. HPV testing
C. Colpospcy
D. Cone biopsy of the cervix
E. Random cervical biopsies
4--if you ever have hgsil, you definitely go to colposcopy always.
 

thehundredthone

7+ Year Member
Aug 20, 2012
802
218
Status
Fellow [Any Field]
Questions

1. What if a pt had herpes during the 2nd trimester, can you give them acyclovir in pregnancy is it safe?

2. What if a pt had herpes during the 2nd trimester and was treated no lesions, at term delivery with no active disease can you do a normal vaginal delivery or do you need to give acyclovir and/or do a c-sec?

3. Amenorrhea leads to increased risk for which cancer? Endometrial, breast, or ovarian?



4.A 27 yo nulligravid women comes with HGSIL, prior pap smears show no abnormalities, exam of cervix and vagina shows no gross abnormalities,, what do you do next

I choose HPV testing ---wrong

A. Repeat pap smear,
B. HPV testing
C. Colpospcy
D. Cone biopsy of the cervix
E. Random cervical biopsies
1 and 2. Acyclovir is safe in pregnancy. Primary outbreaks are treated immediately, recurrences are treated only starting at 36 weeks. Delivery is by caesarian section only in the second instance.

3. That's a very vague question. Amenorrhea due to a hysterectomy? As mentioned above, PCOS can increase the risk of endometrial cancer but in general, it is the exposure to estrogen that increases the risk of cancer, rather than the lack thereof.

4. HSIL will always get an immediate colopscopy. The question arises for a LSIL, where I think you can offer repeat testing in 6 months/1 year to women under the age of 30, and offer HPV co-testing to those over the age of 30. If you suspect a person will be noncompliant, however, do the colposcopy.