27yo G1P1001 presents to the gynecologist’s office to get established as a new patient and have her annual well woman examination performed.  She has had no GYN complaints over the past year and is not currently on her cycle.

Past Medical History

None

Medications

Ortho Tri-Cyclen

Past Obstetric History

38-week NSVD without complications

Past Gynecologic History

Age of menarch – 13

Coital debut – 17

Lifetime partners – 4

Cycles regular at 28-30 days and lasting for 3-5 days with mild/moderate bleeding

Last pap – 2014 and normal per patient No history of STI

Vital Signs

BP-124/75, HR-74, RR-14, O2-100%, Temp-99.1

Physical Exam

Abdomen – Soft, non-tender, non-distended

GU – no cervical motion tenderness, no adenexal tenderness

Pap Results

Atypical squamous cells of undetermined significance

Answer will be posted on 02/20