WorksheetsCytoscreener pre test 1
Total questions: 25
Worksheet time: 51mins
Select the type of cells seen in the smear
Parabasal cells
Metaplastic cells
Endocervical cells
Dysplastic cells
Endometrial cells
What is the most likely pathological change seen in the cells pointed by black arrow ?
High grade dysplasia
Low grade dysplasia
Parakeratosis
Degeneration
Eosinophilic change
What is the diagnostic category for this smear ?
Low grade squamous intra epithelial lesion
High grade squamous intraepithelial lesion
NILM with atrophic changes
NILM
ASCUS low grade
What is the most suitable name for the cells indicated by arrow ?
Reactive endocervical cells
Endometrial cells
Endocervical cells with tubal metaplasia
High grade dysplastic cells
Atypical glandular cells
What is the most likely option for the material indicated by arrow ?
Contamination with cotton wool
Cervical mucus
Actinomycosis colonies
Necrotic material
Bacterial colonies
What is the most likely diagnosis for the smear shown here ?
NILM
Candida
NILM
Leptotrix
NILM
Fungal hyphae
LSIL
Candida
LSIL
Leptotrix
What are the cells pointed by arrow ?
Endocervical cells
Endometrial cells
Dysplastic cells
Macrophages
Lymphocytes
Select all responses which are correct.
The smear shows
Cells with viral cytopathic changes
Features suggestive of HSV infection
Cells with high grade squamous dysplasia
Features of non specific infection
Histiocytic giant cells
What are the cells / organisms seen in the smear ?
Select all responses which are true.
Intermediate cells
Parabasal cells
Neutrophils
Trichomonas
Candida
What is the most likely diagnosis ?
LSIL
HSIL
NILM
ASCUS LG
ASCUS HG
Which of the following are true regarding the given smear ?
Select all responses which are true.
Viral cytopathic changes
Koilocytic aypia
HPV infection
LSIL
ASCUS LG
What is the most likely diagnosis ?
Squamous cell carcinoma
Adenocarcinoma
High grade SIL
Glandular cell atypia
Low grade SIL
The cell cluster seen in the smear is best described as
Reactive endocervical cells
Endometrial cells
Atypical glandular cells
Metaplastic cells
HSIL
What are the oval shaped structures seen in the smear?
HSV inclusions
HSIL cells
Giant cells
Pin worm eggs
Keratinized cells
This smear is unsatisfactory. What is the most likely error.?
Inadequate cells
Extensive air drying
Contamination with blood
Poor staining quality
Poor fixation
Select all correct responses
In a cervical cytology smear, features of a dysplastic squamous epithelial cell include,
nuclear hyperchromasia
orangiophilic cytoplasm
cytolysis
nuclear membrane irregularity
chromatin clumping
Select all correct responses
Cytoplasmic vacuolation of squamous/ glandular epithelial cells occurs in
reactive changes due to an infection
changes due to intra uterine contraceptive devices
atrophic changes in post-menopausal females
cytopathic changes due to Human Papilloma Virus infection
malignant cells in invasive squamous cell carcinoma
Select all correct responses
Regarding cervical cancer
Squamous cell carcinoma is commoner than adenocarcinoma
Both squamous and adenocarcinomas are caused by Human Papilloma virus
Vaccination with bivalent HPV vaccine completely eliminates the risk of cervical cancer
It occurs in females 30-50 years of age
High risk sexual behaviour places women at increased risk
Select all correct responses
Precursor lesions of cervical cancer
invariably proceed to cervical cancer
progression to invasive carcinoma occurs over months
are caused by Human Papilloma Virus type 6 and 11
are detected in cervical cancer screening
are diagnosed definitely by colposcopic biopsy
Select all correct responses
Following cytological/ smear changes and the associated infections are correctly paired
Leptotrix - Chlamydia
Giant cell formation - Herpes simplex infection
Clue cells - Bacterial vaginosis
Cytolysis - Candidiasis
Chromatin clumping - Trichomonas vaginalis
Select all correct responses
Regarding the cervix
The position of the squamocolumnar junction changes during reproductive life
The endocervix is lined by stratified squamous epithelium
The low vaginal pH predisposes to squamous metaplasia of cervix
The transformation zone is highly vulnerable to HPV induced changes
Sampling of the squamocolumnar junction can be recognized when assessing a PAP smear
Select all correct responses
Reactive glandular cells
Show prominent nucleoli
Are arranged in flat sheets
Show nuclear membrane irregularity
Show clumping of chromatin
Show nuclear orientation in the same direction
Select all correct responses
PAP smear of a patient with adenocarcinoma shows
feathering
the cells arranged in papillae
three dimensional clusters
macronucleoli
tumour diathesis
Select all correct responses
Regarding cervical cytology smear
Presence of parakeratosis excludes malignancy
Presence of polymorphs (neutrophils) indicates infection
Tingible body macrophages are seen in follicular cervicitis
Follicular cervicitis leads to lymphoma
Polyballs with neutrophil infiltration are seen in patients with IUCD
Select all correct responses
Regarding quality assurance in cervical cytology
QC slide should run with each set of staining
10% of negative slides of a cytoscreener should be re-screened
The laboratory is not responsible for errors in sample collection
All HSIL smears should be re-screened by a second pathologist
HSIL smears should be correlated with histology
