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Cervical cancer screening — USMLE Step 3 MCQ

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EasyAmbulatory Medicine / Primary CareCervical cancer screeningUSMLE Step 3

A 33-year-old woman comes for routine care. She has a cervix, no history of CIN 2, immunosuppression, or DES exposure. Her last cervical cytology and high-risk HPV cotest 5 years ago were negative. She has no symptoms. Which of the following is the most appropriate screening recommendation?

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Correct answer: E — Repeat high-risk HPV testing alone or cotesting now

For ages 30 to 65 years, screening can be performed every 5 years with high-risk HPV testing alone or cotesting, or every 3 years with cytology alone.

Reference: USPSTF Cervical Cancer Screening, 2018