Select the one best response.
A 20 year old sexually active female presents for an annual exam. She tells you she has had four sexual partners in the past, she has participated in unprotected intercourse sometimes, and her age at first coitus was 15. She has a 5 pack year tobacco history. Her family history is positive for early coronary artery disease in her father and paternal grandfather. On physical exam, she is overweight. Otherwise her exam is normal. On pelvic exam, there are no cervical lesions, and a Pap smear is obtained.
A - Which of the following screening tests is recommended for this patient?
a. Liver function tests
b. Chest x-ray
d. Lipid profile
B - Several days later, the Pap smear result is reported as a low-grade squamous intraepithelial lesion (LGSIL). Which infectious agent is most likely associated with this result?
a. Human papillomavirus (HPV)
b. Herpes simplex virus
d. Trichomonas vaginalis
C - Based on the above information, this patient should
a. Have further evaluation of cervical abnormality
b. Have an annual Pap smear
c. Have a repeat Pap smear if and when she changes sexual partners
d. Have Pap smear repeated every 3 years