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OBG · Gynecology: cervical cancer screening
Sample itemWhat is the main purpose of cervical screening programs?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Detect high-risk HPV-related precancerous change before invasive cancer develops
Cervical screening identifies high-risk HPV infection and/or cervical cell abnormalities so precancerous lesions can be monitored or treated. It is not a diagnostic test for symptomatic patients with possible cancer.
Option by option
A. Detect high-risk HPV-related precancerous change before invasive cancer develops (correct)
Correct. Screening aims to prevent invasive cervical cancer through early detection of precursor disease.
B. Diagnose ovarian cancer in all patients
Ovarian cancer requires different diagnostic approaches.
C. Prevent all sexually transmitted infections
Screening does not prevent all STIs.
D. Replace assessment of symptomatic bleeding
Symptoms such as postcoital bleeding still require clinical evaluation even with prior screening.
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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