Question 1

Which of the following is the most significant risk factor for developing cervical cancer?

Accepted Answer

Lack of cervical screening

Question 2

A 25-year-old woman who smokes and has multiple sexual partners is at increased risk for cervical cancer. Which mechanism best explains the increased risk associated with smoking?

Accepted Answer

Tobacco by-products damage cervical cell DNA and suppress the immune system

Question 3

Which strains of HPV are most commonly associated with aggressive cervical cancer?

Accepted Answer

HPV 16 and 18

Question 4

According to the Newfoundland and Labrador cervical screening guidelines, how often should a woman aged 21 or older who is sexually active and has had three consecutive negative Pap tests be screened?

Accepted Answer

Every three years

Question 5

What is the primary goal of secondary prevention in cervical cancer control?

Accepted Answer

Early detection and treatment of disease in asymptomatic individuals

Question 6

A 32-year-old woman receives a Pap test result of ASCUS-HPV negative. What is the recommended next step according to the guidelines?

Accepted Answer

Continue with routine screening

Question 7

Which of the following is a key action for primary prevention of cervical cancer?

Accepted Answer

HPV vaccination

Question 8

A nurse is providing anticipatory guidance to an adolescent about sexual health. Which of the following should be included to reduce the risk of cervical cancer?

Accepted Answer

Delay onset of sexual activity and use barrier contraception

Question 9

What is the recommended dosing schedule for Gardasil-9 HPV vaccine in Newfoundland and Labrador's school health program?

Accepted Answer

Two doses over six months in sixth grade

Question 10

Which of the following best describes the concept of tertiary prevention in cervical cancer control?

Accepted Answer

Treatment and management of diagnosed disease to prevent complications

Question 11

A 29-year-old woman has a Pap test result of LSIL. According to the guidelines, what is the next recommended step?

Accepted Answer

Repeat Pap in 6 months

Question 12

Which of the following is NOT a preventative factor for cervical cancer?

Accepted Answer

Early age at first intercourse

Question 13

According to the WHO global strategy, what percentage of girls should be fully vaccinated with HPV vaccine by age 15 to be on track for cervical cancer elimination?

Accepted Answer

$$90\%$$

Question 14

Which of the following statements about HPV is TRUE?

Accepted Answer

Most HPV infections are cleared by the immune system

Question 15

A nurse is caring for a 2SLGBTQI+ youth. Which of the following is the most appropriate nursing action?

Accepted Answer

Create a supportive, non-judgemental climate

Question 16

Which of the following best describes the squamocolumnar junction in the cervix?

Accepted Answer

The area where squamous and columnar epithelial cells meet, and where most cervical cancers originate

Question 17

A 40-year-old woman has not had a Pap test in over 10 years. Which of the following best describes her risk?

Accepted Answer

She is at increased risk for cervical cancer due to lack of screening

Question 18

Which of the following is a key target of the global strategy to eliminate cervical cancer by 2030?

Accepted Answer

$$70\% of $$women are screened with a high-performance test by age 35 and again by age 45

Question 19

Which of the following is a correct statement about the Gardasil-9 vaccine?

Accepted Answer

It is effective against 9 strains of HPV, including types 16 and 18

Question 20

A woman aged 65 with a history of regular and negative Pap tests asks if she should continue screening. What is the best response?

Accepted Answer

Screening may cease if she has a history of regular and negative Pap tests

Reproductive Health & Sexuality - Class 16

Study Guide - Practice Questions

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