Community Medicine (PSM) · Screening of Diseases and Health Concepts

In cervical cancer screening under the National Programme for Non-Communicable Disease Control, the recommended primary screening method for resource-limited settings is:

  • A Conventional Pap smear every 3 years from age 21–65
  • B HPV DNA testing every 5 years from age 30
  • C Liquid-based cytology (LBC) combined with colposcopy from age 25
  • D Visual Inspection with Acetic Acid (VIA) at age 30 and 40 years
Correct answer: D. Visual Inspection with Acetic Acid (VIA) at age 30 and 40 years

Explanation

India's National Programme (under NPCDCS) recommends VIA (Visual Inspection with Acetic Acid) as the primary cervical cancer screening method for community-level implementation, targeting women at 30 and 40 years. VIA is low-cost, does not require laboratory infrastructure, can be performed by trained ANMs, and allows same-day treatment using the 'screen-and-treat' approach with cryotherapy. HPV DNA testing is recommended by WHO as the preferred method globally but is being scaled in India; Pap smear and LBC require cytology laboratories not universally available at peripheral levels.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.

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