Cervical Screening

Question 1

most common cancer in women under 35?

Answer 1

cervical cancer

Question 2

cervical cancer and SIMD deprivation?

Answer 2

more common in more deprived areas

Question 3

any woman with symptoms should not have screening, what do they have instead?

Answer 3

diagnostic test

Question 4

symptoms of cervical cancer?

Answer 4

unusual vaginal discharge/bleeding
including bleeding after sex/between periods
dyspareunia (painful intercourse)

Question 5

cervical screening programme in scotland?

Answer 5

all women aged 25-64 years are screened

• 25-49 = every 3 years
• 50-64 years = every 5 years

Question 6

what is done during cervical screening?

Answer 6

visual examination of cervix
brush sample of cells from transformation zone of cervix
then liquid based cytology is done

Question 7

future screening methods?

Answer 7

primary HPV testing will be carried out from january 2020

Question 8

how is coverage of population of a screening test calculated?

Answer 8

a = eligible population
b = invited population
c = screened population

coverage = c/a X 100%

Question 9

how is uptake of a screening test calculated?

Answer 9

uptake = c/b X 100%

Question 10

challenges with coverage?

Answer 10

minority ethnic groups
immigrants
travellers
prisoners
students

Question 11

challenges with uptake?

Answer 11

change of address
communication
health literacy
deprivation
accessibility 
vulnerable groups

Question 12

what is coverage?

Answer 12

proportion of eligible women in a population who have a screening test done with a recorded result

Question 13

what is uptake?

Answer 13

the number of women accepting invites to a screening test

Question 14

high risk HPV types?

Answer 14

16 and 18

Question 15

who is given HPV vaccine?

Answer 15

all girls S1 to S3 and MSM age 45

boys in S1

Question 16

describe HPV vaccine?

Answer 16

quadrivalent vaccine (gardasil)
protects against types 16, 18, 6 and 11
- so protects against genital warts

Question 17

how effective is HPV vaccine?

Answer 17

does not protect against 30% of cervical cancers so screening still needed

Question 18

what is female genital mutilation?

Answer 18

all procedures that involve partial or total removal of the external female genitalia or other injury to female genital organs for non-medical reasons
- recognised as violation of human rights

Question 19

what foods contain folic acid?

Answer 19

green leafy veg

some cereals and bread are fortified with folate