Cervical dysplasia and cervical cancer Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 31-year-old woman presents for a routine physical. She has regular menstrual periods and is sexually active. Past medical history includes all normal cervical cytology screening. She smokes 5 to 10 cigarettes per week and consumes 1 to 3 alcoholic beverages most weekend evenings. Temperature is 36.5°C (97.7°F), pulse is 70/min, respirations are 12/min, and blood pressure is 122/80 mmHg. The pelvic exam is unremarkable, with a normal appearing cervix, vagina, and vulva. A sample is taken for cervical cytology screening and human papillomavirus (HPV) testing. The results show HPV-negative atypical squamous cells, cannot exclude high-grade lesions (ASC-H). Which of the following factors would most significantly increase this patient’s risk of grade 3 cervical intraepithelial neoplasia (CIN 3) and the need for immediate treatment?

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Pregnancy

Heavy menstrual bleeding (HMB)

History of organ transplant

History of > 3 sex partners within the last 6 months

History of cervical chlamydia