A 23-year-old sexually active woman presents for her first Pap smear.Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners.Which of the following conditions should the clinician be particularly alert for during her examination?

Question

Quizplus · Accepted Answer

The patient's history of multiple sexual partners and early onset of sexual activity make her at increased risk for human papillomavirus (HPV), which can lead to cervical dysplasia and cervical cancer. It is important for the clinician to be vigilant for any signs or symptoms of HPV, such as abnormal Pap smear results or genital warts. Endometrial hyperplasia, vaginismus, and polycystic ovarian syndrome are not necessarily related to the patient's sexual history and are therefore unlikely to be of immediate concern during her exam.

A 23-Year-Old Sexually Active Woman Presents for Her First Pap