Station - Instructions for candidate
You are a junior doctor working in a general practice in Perth.
Achol Akol, a 34-year-old retail assistant, had a cervical screening test at the practice last week - her first in eight years - and has been asked to come back to discuss the result, which is printed below. She has been told by the receptionist only that the doctor wants to see her.
Cervical screening test (clinician-collected, 7 days ago)
| Item | Value | Reference range |
|---|---|---|
| Oncogenic HPV | Detected - HPV 16 | Not detected |
| Reflex liquid-based cytology | Low-grade squamous intraepithelial lesion (LSIL) | Negative |
| Recommendation | Refer for colposcopy (HPV 16/18 detected) | - |
Sample adequate. Previous screening: Pap test 8 years ago, normal.
Your tasks are to:
- Take a focused history.
- Explain the result and what it means to Ms Akol.
- Explain what happens next.
- You do NOT need to examine the patient.
- You do not need to complete the referral form in this station.
This is a 10-minute station, with 2 minutes of reading time.