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OBG · Gynaecological oncology: screening after HPV vaccination
Sample itemA 24-year-old who received a bivalent HPV vaccine at age 14 asks whether she can skip cervical screening. What is the advice?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Screening is still needed because vaccination does not cover all oncogenic types
HPV vaccines protect against HPV 16 and 18 and some cross-protection but not all oncogenic types, and they do not treat existing infection. Vaccinated women should follow the usual screening schedule.
Option by option
A. Screening is unnecessary after full vaccination
Vaccination does not remove the need for screening.
B. Screening is needed only if she becomes sexually active
Screening schedules are set by age and not sexual activity alone.
C. Screening is still needed because vaccination does not cover all oncogenic types (correct)
Correct. Other oncogenic types and prior exposure remain possible.
D. Only HPV vaccine boosters are needed
Boosters do not replace 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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