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OBG · Gynaecological oncology: cervical screening
Sample itemUnder the Indian national programme for prevention and control of NCDs, what is the recommended screening for cervical cancer in women aged 30 to 65 years?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Visual inspection with acetic acid every 5 years
National guidelines recommend VIA (or Pap smear or HPV testing where available) for women aged 30 to 65 years, repeated at 5-year intervals if negative. Positive women are referred for colposcopy and biopsy. Acetowhite areas indicate possible CIN.
Option by option
A. Screening only after symptoms
Screening aims to detect disease before symptoms.
B. Annual Pap smear from age 18
Annual Pap smears from 18 are not recommended.
C. Visual inspection with acetic acid every 5 years (correct)
Correct. VIA every 5 years is the programme recommendation.
D. Colposcopy every year
Colposcopy is a diagnostic, not a screening, tool.
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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