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APGO Part 1 Exam With 100% Correct Answers 2024
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APGO Part 1 Exam With 100% CorrectAnswers
Objectivei03:iCervicaliCancer
andiSexuallyiTransmitted
InfectioniScreeningi(2019)i-iCorrectiAnswer-
Objectivei03:iCervicaliCancer
andiSexuallyiTransmitted
InfectioniScreeningi(2019)
Ai24-year-oldiG0P0iwomanipresentsiforia
secondiopinion.iSheirecentlyihadiailowgrade
squamousiintraepithelialilesioni(LSIL)
Papiandiunderwenticolposcopyiwith
biopsiesishowingicervicaliintraepithelial
neoplasiai(CIN1).iThisiwasiherifirst
abnormaliPapitest.iSheiisiinigoodihealth
andinotitakingianyimedication.iHeriprovider
recommendediaiLEEP.iSheiisiactively
tryingitoigetipregnant,ibutiisiconcernedithat
thisidiagnosisimeansisheihasicancer.iWhat
isitheibestinextistepiinimanagementiforithis
,patient?i-iCorrectiAnswer-Repeaticytologyiini12imonths
Ai20-iyear-oldiG0P0iwomanipresentsifor
herifirstigynecologiciexamination.iSheihas
recentlyibegunihavingisexualirelationsiwith
heriboyfriendianditheyiareiusingicondoms
foricontraception.iSheihasinoigynecologic
complaints.iSheiisihealthyianditakesino
medications.iWhatiisitheibestinextistepiin
managementiforithisipatient?i-iCorrectiAnswer-
ChlamydiaiandiGonorrheaitest
Ai32-year-oldiG2P2iwomanipresentsiforia
healthimaintenanceiexamination.iSheiisiin
goodihealthianditakesinoimedications.iShe
doesinotihaveiaihistoryiofiabnormaliPap
tests,iandiherilastioneiwasithreeiyearsiago.
Heriexaminationiisinormal,iincludingiher
pelviciexam.iAiPapitestiisiperformediand
returnsiasinormaliwithihigh-riskiHPV
negative.iWhatiisitheimostiappropriate
screeningirecommendationiforicervical
,canceriinithisipatient?i-iCorrectiAnswer-PapiandiHPVitestingiini5iyears
Ai28-year-oldiG0iwomanihasiaiPapitest
thatiisireportediasihigh-gradeisquamous
intraepithelialilesioni(HSIL).iSheiisicurrently
sexuallyiactive.iSheihasihadisixisexual
partnersiandihasibeeniiniaimonogamous
relationshipiwithiherifiancéiforitheilastiyear.
Whatiisitheimostiappropriateinextistepiin
theimanagementiofithisipatient?i-iCorrectiAnswer-Colposcopy
Ai19-year-oldiG0iwomanipresentsiwith
loweriabdominalicramping.iTheipainistarted
withiherimensesiandihasipersisted,idespite
resolutioniofitheibleeding.iSheithinksishe
mayihaveiaifeveributihasinotitakeniher
temperature.iNoiurinaryifrequencyior
dysuriaiareipresent.iHeribowelihabitsiare
regular.iSheideniesivomitingibutihasimild
nausea.iAiyellowiblood-tingedivaginal
dischargeiprecedediherimenses.iNo
pruritusioriodoriwasinoted.iSheiisisexually
, active,iusesioralicontraceptives,iandistates
thatiheripartneridoesinotilikeicondoms.iOn
examination:itemperatureiisi100.2°F
(37.9°C),ipulsei90ibeats/minute,iblood
pressurei110/60.iSheiisiwell-developediand
nourishediandiinimildidistress.iNoiflankipain
isielicited.iHeriabdomenihasinormalibowel
sounds,ibutiisiveryitenderiwithiguardingiin
theiloweriquadrants.iNoireboundiisipresent.
Pelviciexaminationirevealsiaimoderate
amountiofithickiyellowidischarge.iTheicervix
isifriableiwithiyellowi-iCorrectiAnswer-PID
Ai39-year-oldiG0iwomanipresentsitoithe
clinicireportinginon-tenderilesionsioniher
vulvaiforioneiweek.iSheideniesipruritusior
pain.iSheihasiaibrownishirashionitheipalms
ofiherihands.iSheiendorsesiIVidrugiabuse.
SheiwasidiagnosediasiHIV-positiveitwo
yearsiago,ibutisheihasinotibeenicompliant
withisuggesteditreatment.iOniexamination,
threeielevatediplaquesiwithirollediedgesiare
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