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Cervical cancer screening — MCCQE Part 1 MCQ

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ModeratePreventive MedicineCervical cancer screeningMCCQE Part 1

A 23-year-old asymptomatic woman asks for a Pap test. She has no immunocompromise and no history of cervical dysplasia. Which of the following is the most appropriate response according to CTFPHC guidance?

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

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Correct answer: AExplain that routine screening begins at age 25 in CTFPHC guidance, with provincial programme variation

CTFPHC guidance recommends starting routine cervical screening at age 25, though provinces may have local programme variation. HPV vaccination reduces but does not eliminate future screening needs. Screening too early increases false positives and procedures without clear population benefit.

Reference: CTFPHC Cervical Cancer Screening Guideline