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Surgery Miscellaneous f545133c

First pap smear should be done at:

A
First visit to gynaec opd
B
Before 18 yrs of age
C
3 yrs after 1st intercourse
D
Perimenopausal period
High-Yield Explanation
Ans C Ref: Williams Gynaecology Page 626PAP testAvoid during menstruation. Abstain from vaginal intercourse, douching, vaginal tampons, medicinal/ contraceptional cream for atleast 24-48hrs before test. Treat any cervicitis/vaginitis prior to test Sampling of transformation zone is of importance for sensitivity of testScreening of guidelines (American cancer society (ACS) Initiation: 3 yrs after lsl intercourse/by age 21 whichever is earlier.Intervals.Age <30Annual (conventional smear)Every 2 yrs (liquid based cytology)Age >30Every 2-3 yrs after 3 consecutive negative testIn high risk cases (HIV)- 2 tests/yr during 1st year of diagnosis of HIV, then yearlyDiscontinuation: at 70yrs, if 3 negative tests in last 10 yrs. Post hysterectomy(total hysterectomy)

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