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Cancer Screening-Cervical — USMLE Step 2 CK MCQ

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HardObstetrics & GynecologyCancer Screening-CervicalUSMLE Step 2 CK

A 49-year-old underwent total hysterectomy with removal of the cervix for symptomatic leiomyomas. Operative pathology was benign, and she has never had cervical cancer or cervical intraepithelial neoplasia grade 2 or worse. Which cervical-cancer screening plan is appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Stop routine cervical cytology and high-risk HPV testing permanently

Explanation lettering: C = shown as B · E = shown as C · B = shown as D · D = shown as E

B is correct: USPSTF recommends against screening after total hysterectomy with removal of the cervix when there is no history of a high-grade precancerous lesion or cervical cancer. A incorrectly substitutes routine vaginal cuff cytology. C and D continue cervical screening despite absence of the target organ and qualifying history. E incorrectly treats acquisition of a new partner as an indication to restart screening after a benign total hysterectomy.

Reference: USPSTF recommendation: cervical cancer screening. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/cervical-cancer-screening