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Cervical cancer screening — USMLE Step 3 MCQ

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EasyOB/GYN (prenatal care, contraception, screening)Cervical cancer screeningUSMLE Step 3

A 32-year-old woman comes for a routine visit. She has no history of cervical intraepithelial neoplasia, immunosuppression, or DES exposure. Her last cervical cytology 3 years ago was normal. She asks what screening she should have now. Which of the following is the most appropriate screening recommendation?

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Correct answer: D — Primary high-risk HPV testing every 5 years, cytology every 3 years, or cotesting every 5 years

For average-risk adults aged 30 to 65, acceptable strategies include cytology every 3 years, primary HPV testing every 5 years, or cotesting every 5 years.

Reference: ACOG cervical cancer screening guidance