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White Discharge During Pap Smear: Clinical Significance and Management The presence of white discharge during a Pap smear should not delay specimen collection; carefully remove the discharge with a saline-soaked cotton swab and proceed with the test, as the discharge typically represents normal physiologic secretions, candidiasis, or bacterial vaginosis that can be evaluated and treated based.. A Positive Airway Pressure (PAP) Nap is a daytime study for patients who have anxiety about starting PAP therapy, are claustrophobic, or are having difficulty tolerating PAP therapy for their sleep-related breathing disorder. The patient works one-on-one with a sleep technologist, using relaxation, deep breathing and desensitization techniques to try to become more comfortable with PAP therapy.