To obtain a cervical smear, you would insert the Ayre's spatula through the speculum and scrape the surface
a. by rotating the spatula 360° clockwise and then counterclockwise.
b. in three separate locations.
c. with the longer projection placed in the cervical os and the shorter projection snugly against the ectocervix.
d. with the rounded end of the spatula firmly over the cervical os and squamocolumnar junction.
C
Insert the bifurcated end of the Ayre's spatula through the speculum base. Place the longer projection of the bifurcation into the cervical os. The shorter projection should be snug against the ectocervix. Rotate the spatula 360° one time only. Make sure the transformation zone is well sampled. Remove the spatula and gently spread the specimen on the section of the slide labeled C, if a sectional slide is used. Do not rotate the spatula 360° clockwise and then counterclockwise. The surface should not be scraped in three separate locations. The spatula is not inserted through the speculum with the rounded end of the spatula firmly over the cervical os and squamocolumnar junction.
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