Cervical Cancer Screening
This is the follow up that is indicated for HIV+ women with LGSIL or worse on their liquid-based Pap test.
What is colposcopy?
This is how women with HIV should be worked up and treated for symptoms suspicious for bacteria vaginosis.
What is the same as non-HIV-infected women?
This is how an HIV+, sexually active woman should be counseled regarding what method(s) of birth control she should use?
What is use dual contraception of condoms + another method?
This is the most common benign breast mass in adolescent and young women.
What is fibroadenoma?
Decision making is free of coercion or coaxing
What is autonomy?
This is the recommendation for HIV+ women with normal cytology and HPV+
Option 1: Cotesting 12 months
Option 2: Test for HPV 16 and 18. If positive = colposcopy; if negative = cotest 12 months
This is how women with HIV should be worked up and treated with symptoms of vulvovaginal candidiasis.
What is the same as non-HIV-infected women?
This is the approximate % reduction in transmission of HIV between an HIV+ woman and her male partner who is taking pre-exposure prophylaxis.
What is 84%?
This type of moderate hyperplasia without atypia is characterized by increased numbers or size of glandular components within lobular units.
What is sclerosis adenosis?
Considers competing needs, rights and obligations, fair distribution of resources
What is justice?
This is when cervical cancer screening for HIV+ women should be stopped.
What is cervical cancer screening for HIV+ women should be continued throughout their lifetime
These are the STIs tests that should be done yearly for HIV+ women.
What is GC, Chlamydia, Trichomoniasis and Syphilis?Patients at risk for Hep C should be tested yearly.
This type(s) of contraception is/are contraindicated in HIV+ women.
What is none are contraindicated?
These are the 2 types of atypical hyperplasia's that can be seen in the breast.
What is atypical ductal and atypical lobular hyperplasia?
What is the increase in risk for the subsequent development of invasive breast cancer?
Intent is to do good for the patient
This is when cervical cancer screening in HIV+ women should begin.
What is within 1 year of onset of sexual activity, or if already sexually active then within one year of diagnosis of HIV but no later than 21yo.
Bonus - What type of screening is recommended?
This is the effect of oral suppressive therapy for HSV in HIV+ women.
What is decreasing genital ulcers, genital HSV-2 shedding, HIV genital shedding, and plasma HIV viral load among co-infected women?
Bonus: What percentage of HIV+ women in US and Europe are coinfected with HSV?
These are the concerns that should be considered when prescribing a combined hormonal contraceptive pill or a progestin-only pill to an HIV+ woman.
What is drug interactions with anti-HIV meds that either decrease the efficacy of the contracpetion or the anti-HIV drug?
Bonus: Which anti-HIV medication is most commonly associated with concerns over decreased efficacy of the med when COC are started?
This histological finding is usually discovered incidentally while investigating another breast mass. It is not considered a precursor lesion for breast cancer. Rather, it is a risk marker for future development of breast cancer.
Do no harm
What is non-maleficence?
This is when cervical cancer screening should be repeated for a 33yo HIV+ woman who had negative cytology and HPV testing.
What is 3 years?
Bonus - What is the routine cervical cancer screening recommendations for HIV+ women under and over 30yo?
What is immunize with Hep B vaccination then test for Hep B surface antibodies 1-2 months after the 3rd dose?
This is the time-limit in which an uninfected partner of an HIV+ woman can take post-exposure prophylaxis after some type of exposure (ex. unplanned intercourse, condom breakage, shared needles).
What is 72hours?
Bonus: What is the post-exposure treatment? What is the duration?
This is the follow up recommendation when atypical hyperplasia is confirmed on core biopsy of a breast mass.
What is surgical excision?
Bonus: Why excision?
This is the difference between morality and ethics.
What is morality relies on an authority to justify its message while ethics relies on facts and logic and not a specific doctrine?