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Cervical cancer screening — MCCQE Part 1 MCQ

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HardScreeningCervical cancer screeningMCCQE Part 1

A 32-year-old asymptomatic woman with a cervix, no immunosuppression and previous normal screening asks about cervical cancer screening. Which of the following is the most appropriate next step?

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Correct answer: A — Offer cervical screening at the interval used by the provincial programme, typically every 3 years in this age group

Offer cervical screening at the interval used by the provincial programme, typically every 3 years in this age group is the single best answer because the age, timing, examination findings and investigations in the vignette fit Cervical cancer screening better than the alternatives. The most tempting distractor is less appropriate because it either treats a neighbouring presentation, delays a time-critical intervention, or ignores a key discriminator in the stem. The remaining options are suboptimal because they would miss the diagnosis, use an investigation or treatment in the wrong sequence, or fail to address safety and follow-up. Canadian practice should be anchored to CTFPHC cervical cancer screening guidance, with attention to acuity, safety-netting and local provincial pathways.

Reference: CTFPHC cervical cancer screening guidance