cervical cancer screening

7/6/2013 8:20:59 PM
Does anyone know what cervical cancer guidelines will be used on the USMLE step 3?? These UWorld questions are using the old guidelines, not the ones published in 2012. In general, when do step 3 questions transition to the new guidelines on questions?


7/7/2013 10:37:44 PM
Age 21 regardless of onset of sexual activity, then every 1 - 2 years until 3 consecutive negative pap then duration can be increased to 3 years.
This is what i know. Is there any recent guideline?


7/8/2013 12:17:20 AM
Yes there are new recommendations.
As of March 2012-
recommended screening guidelines per ACOG and USPSTF are every 3 years from age 21-29.
From age 30-65, per USPSTF- "Recommends screening with cytology every 3 years or for women who want to lengthen the screening interval, screening with a combination of cytology and HPV testing every 5 years."
Per ACOG- "Screening with cytology and HPV testing (“co-testing”) every 5 years (preferred) or cytology alone every 3 years (acceptable) is recommended."

http://www.acog.org/About%20ACOG/Announcements/New%20Cervical%20Cancer%20Screening%20Recommendations.aspx


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