Community Medicine (PSM) · Epidemiology (Study Designs, Bias, Systematic Review, Measures of Association)

In a screening programme for cervical cancer, a test with high sensitivity is preferred. The primary reason for this is:

  • A To minimize false positives and unnecessary follow-up
  • B To maximize detection of true cases and minimize false negatives
  • C To improve the positive predictive value in low-prevalence populations
  • D To reduce the cost of the screening programme
Correct answer: B. To maximize detection of true cases and minimize false negatives

Explanation

High sensitivity means the test correctly identifies most true positive cases (low false negative rate). In mass screening for a serious disease like cervical cancer, missing true cases (false negatives) has serious consequences — untreated disease progresses. High sensitivity ensures maximum case detection; a separate confirmatory test with high specificity is then applied to reduce false positives.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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