Whitney, a 34-year-old woman who postponed pregnancy in her 20s has now been trying to get pregnant for several years. Her husband had a son during a prior marriage. She consults her gynaecologist for work-up of her infertility. Relevant history includes menarche at age 13; five lifetime sex partners; cyclic menses regularly every 30 days; no birth control for 2 years; no pelvic examination in 5 years. She reports no smoking and no intravenous drug abuse.
The attending gynaecologist recommends a cervical screening workup, which returns a cervical smear diagnosis of high-grade squamous intraepithelial lesion, and a human papillomavirus (HPV) assay positive for HPV serotype 16. Colposcopy reveals a friable, vascular lesion on the anterior uterine cervix, a biopsy is taken which shows severe dysplasia (CIN III).
Please answer the following TWO questions:
1. Describe pathophysiology of cervical cancer. What risk factors can you identify in Whitneys case?
(150 words approx.)
2. Why has cervical screening changed from two to five years in Australia? Provide scientific rationale for the new guidelines.
(250 words approx.)
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.
Read moreEach paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.
Read moreThanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.
Read moreYour email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.
Read moreBy sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.
Read more