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What is Nanovalent vaccine offers protection against which type of HPV viruses? and explain in detail?
ANS. BHPV vaccine:* Cervarix: Bivalent--16 and 18* Gardasil: Quadrivalent: 6, 11, 16 and 18* Nanovalent vaccine: 6, 11, 16, 18, 31, 33, 45, 52, 58* 3 doses: 0, 2, and 6 months* 0.5 mL given IM.Images in Pap smearThree types of cells in Pap smear:1. Superficial: Red cells--estrogen dependent2. Intermediate: Greenish-blue--progesterone dependent3. Parabasal: Blue--does not respond to estrogen/progesteroneImportant points in Pap smear:1. In menopause, there is excess parabasal cells.2. Basal cells never occur in Pap smear, if present it indicates erosion.