JAAPA CME Post-Test March 2022

Barriers to Cervical Cancer Screening Among Immigrants

For women ages 21 to 65 years who have not had a hysterectomy, the US Preventive Services Task Force (USPSTF) recommends cervical cancer screening with cytology (Pap smear) every 3 years or a combination of cytology and human papillomavirus (HPV) testing every 5 years. However, foreign-born women were less likely to have received a Pap smear compared with US-born women. This activity reviews barriers to cervical cancer screening for foreign-born women.

Learning Objectives

  • Describe cervical cancer screening recommendations
  • Describe US and worldwide rates of cervical cancer
  • Review barriers to cervical cancer based on demographics
  • Review possible interventions to improve cervical cancer screening rates among foreign-born women and US-born women

Treating Patients With Moderate-To-Severe Psoriasis Vulgaris

Psoriasis vulgaris is a common inflammatory disease of adults and children. Affected patients often are incorrectly diagnosed, undertreated, or not treated at all. The relapsing course of psoriasis negatively affects a patient’s quality of life. The condition is associated with social isolation, anxiety, and depression, and can harm personal relationships and employment status. Psoriasis may have a significant psychologic and socioeconomic effect throughout a patient’s life. Skin involvement is the most prominent symptom of this disease; however, understanding that psoriasis is a chronic, multisystem inflammatory disease is essential to proper treatment. Patients with mild-to-moderate psoriasis can control their disease primarily with topical medications or phototherapy. However, when used as monotherapy or combined with phototherapy, topical medication can be inadequate to treat moderate-to-severe psoriasis. Biologic agents offer treatment options with many benefits for controlling psoriasis vulgaris, whether given as monotherapy or combined with topical or systemic medications.

Learning Objectives

  • Describe the clinical presentation and diagnosis of psoriasis vulgaris
  • Describe the treatment of moderate-to-severe psoriasis vulgaris
  • Outline the screening and maintenance process for biologic therapy and the associated adverse reactions

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