Family Nurse Practitioner Exam

What cells must be present in a Pap smear for it to be classified as a satisfactory specimen?

1. Clue cells and endometrial cells

2. Vaginal cells and cervical cells

3. Squamous epithelial cells and endocervical cells

4. Leukocytes and RBCs

The correct answer is: Squamous epithelial cells and endocervical cells

For a Pap smear to be classified as a satisfactory specimen, it must contain squamous epithelial cells and endocervical cells. The presence of squamous epithelial cells is crucial as they line the cervix and play a key role in identifying changes related to precancerous lesions and cervical cancer. Endocervical cells, which originate from the cervical canal, provide important information about the health of the cervical region, including hormonal influences and potential pathologies. The combination of both cell types ensures that the sample is representative of the transformations occurring within the cervix, allowing for accurate cytological evaluation and diagnosis. The other options do not fulfill the criteria for a satisfactory specimen. Clue cells and endometrial cells indicate different conditions unrelated to cervical screening. Vaginal cells alone, without endocervical cells, may not depict cervical health accurately. Similarly, the presence of leukocytes and red blood cells can suggest inflammation or infection but does not meet the necessary criteria for a valid Pap smear evaluation. Thus, the requirement for both squamous epithelial cells and endocervical cells is essential for an effective diagnostic process.