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readings once again our talk here is going to be on cervical screening and displeasure you may remember I did a lecture on this a while back about a year ago or so and since then or maybe a little bit before then but unbeknownst to me the recommendations have changed rather dramatically and part of that is that I didnamp;#39;t do a great job of making sure that I had all the up-to-date recommendations but another part of it is due to the fact that ACOG American Congress of Obstetricians and Gynaecologists are rather notorious for frequently updating and changing their recommendations which is a headache to us but itamp;#39;s a good thing because itamp;#39;s always important to have the latest up-to-date and evidence-based guidelines so that we are treating our patients in the best way that science tells us to do okay so let start with a vignette a 22 year old female graduate student presents to the University Health Center for a physical exam she has no complaints at