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PSM · Non-communicable diseases: HPV DNA testing
Sample itemCompared with cervical cytology, primary HPV DNA testing for cervical cancer screening is:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. More sensitive for detecting high-grade cervical precancer
High-risk HPV DNA testing has higher sensitivity than cytology for CIN2 or worse lesions and allows longer screening intervals, although specificity is lower, particularly in young women. It is recommended from age 30.
Option by option
A. Equally sensitive but costlier
Sensitivity is better, not equal.
B. Less sensitive but more specific
Sensitivity is higher, not lower, with lower specificity.
C. Not useful above 30 years of age
It is recommended from age 30 onwards.
D. More sensitive for detecting high-grade cervical precancer (correct)
Correct. HPV testing is more sensitive.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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