In cervical cancer screening, co-testing with HPV and cytology is preferred over cytology alone. The MOST carcinogenic HPV genotypes responsible for approximately 70% of cervical cancers are:
- A HPV 6 and 11
- B HPV 16 and 18 ✓
- C HPV 31 and 33
- D HPV 45 and 52
Correct answer: B. HPV 16 and 18
Explanation
HPV 16 and 18 together account for approximately 70% of cervical cancers worldwide; HPV 16 causes predominantly squamous cell carcinoma while HPV 18 is more strongly associated with adenocarcinoma. HPV 6 and 11 are low-risk types causing genital warts (condylomata acuminata). HPV 31, 33, 45, 52, and 58 are intermediate-risk types covered by the 9-valent vaccine.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.