Cervical cancer Quiz: Ace Your Exams
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A 46-year-old woman, gravida 2 para 1, comes to the office for a routine wellness exam. She has no acute complaints. A Pap smear is performed and reveals the following:

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The patient was previously diagnosed with ductal carcinoma in situ of the left breast at age 40, which was treated with lumpectomy and tamoxifen. During the past year, she had a vaginal yeast infection that resolved after treatment with fluconazole. When she was 20-years-old, the patient had one surgical abortion by dilatation and curettage. She had one spontaneous vaginal delivery when she was 30-years-old. The patient has smoked one pack of cigarettes per day since she was 16-years-old, and she drinks 1 beer per week. Which of the following elements of the patient's history placed her at greatest risk for developing her current condition?

Image reproduced from Wikimedia Commons
The patient was previously diagnosed with ductal carcinoma in situ of the left breast at age 40, which was treated with lumpectomy and tamoxifen. During the past year, she had a vaginal yeast infection that resolved after treatment with fluconazole. When she was 20-years-old, the patient had one surgical abortion by dilatation and curettage. She had one spontaneous vaginal delivery when she was 30-years-old. The patient has smoked one pack of cigarettes per day since she was 16-years-old, and she drinks 1 beer per week. Which of the following elements of the patient's history placed her at greatest risk for developing her current condition?
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