A 21-year-old lady with a gravida 0 status arrives at the clinic complaining of postcoital bleeding. For six months, she has engaged in sexual activity with her male companion. Since she first started having sexual relations at age 15, the patient has been using birth control tablets. The patient and her boyfriend don't use condoms, and neither of them has ever had an STD identified. Every day, the patient smokes one pack of cigarettes. A tiny mobile uterus and no cervical motion pain are seen with bimanual examination. A vagina that is well-estrogenized and free of lesions is visible under a scope. The exterior os of the cervix is surrounded by an erythematous region, and there is little clear discharge. The cytological result of her first Papanicolaou smear is seen in the picture below. Which of the following best describes the finding shown on this patient's slide?

Question

A 21-year-old lady with a gravida 0 status arrives at the clinic complaining of postcoital bleeding. For six months, she has engaged in sexual activity with her male companion. Since she first started having sexual relations at age 15, the patient has been using birth control tablets. The patient and her boyfriend don't use condoms, and neither of them has ever had an STD identified. Every day, the patient smokes one pack of cigarettes. A tiny mobile uterus and no cervical motion pain are seen with bimanual examination. A vagina that is well-estrogenized and free of lesions is visible under a scope. The exterior os of the cervix is surrounded by an erythematous region, and there is little clear discharge. The cytological result of her first Papanicolaou smear is seen in the picture below.  Which of the following best describes the finding shown on this patient's slide?

Quizplus · Accepted Answer

Eductional Objective: Warts on the skin and in the vaginal area, as well as benign and malignant intraepithelial neoplasia, are all results of human papillomavirus (HPV) infection. A characteristic symptom of HPV infection is koilocytosis. Pyknotic, superficial, or immature squamous cells called koilocytes have a perinuclear clearing that resembles a halo and a thick, unevenly stained cytoplasm.

A 21-Year-Old Lady with a Gravida 0 Status Arrives at the Clinic