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Gynaecology & Obstetrics AIIMS 2019 ae0f40e1

The following is used in which procedure in gynecology?

A
Pap smear
B
Endometrial Biopsy
C
Cervical Biopsy
D
Vulval Biopsy
High-Yield Explanation
The image shown in question is of Ayre's spatula which is used in papsmear Sensitivity of the cervical cytology for the detection of CIN 2 or 3 ranged from 47% to 62% Errors occurred because of - Poor fixation on the glass slide, leading to air drying - Smear were thick and obscured by vaginal discharge, blood, or mucus. Liquid - based Cytology Liquid samples are processed to provide a uniform, thin layer of cervical cells without debris on a glass slide & this eliminates air drying. The cell sample is collected with an endocervical brush used in combination with a plastic spatula or with a plastic broom. The sample is rinsed in a l containing liquid alcohol-based preservative. Hence 80% to 90% of the cells are retrieved The cells are retrieved from the l by passing the liquid through a filter. Recommendation : 2020 Novaks For women 21 to 29 years Screening with cytology every 3 year From 30 to 65 years Co - testing with conventional cytology and high - risk HPV testing every 5 years Or Cytology alone every 3 years are appropriate alternatives After the age of 65 it is Discontinue screening when 3 negative cytology results or 2 negative co test in the previous 10 years

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