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Abnormal cervical screening — DRCOG MCQ

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HardGynaecological OncologyAbnormal cervical screeningDRCOG

Routine primary screening detects high-risk HPV, but triage cytology is negative. This is the first such result. What follow-up is recommended?

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Correct answer: C — Repeat primary HPV screening after 12 months

The best answer is “Repeat primary HPV screening after 12 months”. The English programme recalls a first high-risk HPV-positive, cytology-negative result at 12 months. Persistent HPV is retested according to the pathway, with colposcopy after abnormal cytology or after persistence at the specified programme threshold; genotype alone does not import a US referral rule.

Reference: NHS Cervical Screening Programme: good practice for sample takers: https://www.gov.uk/government/publications/nhs-cervical-screening-programme-good-practice-guidance-for-sample-takers/nhs-cervical-screening-programme-good-practice-guidance-for-sample-takers