8: Public health - cervical cancer screening & vaccination Flashcards Preview

Reproduction Week 3 2018/19 > 8: Public health - cervical cancer screening & vaccination > Flashcards

Flashcards in 8: Public health - cervical cancer screening & vaccination Deck (22)
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1
Q

What is the most common cancer in women under 35?

A

Cervical cancer

2
Q

Cervical cancer is most common in which group of women?

A

Under 35s

3
Q

What is the main factor affecting cervical cancer’s mortality rate?

A

Early detection

4
Q

More deprived populations have (greater / reduced) rates of cervical cancer.

A

greater deprivation = greater rates

True for lots of diseases

5
Q

What type of testing is carried out for cervical cancer among high-risk populations?

A

Screening tests

6
Q

Screening tests for cervical cancer are aimed at (asymptomatic / symptomatic) patients.

A

asymptomatic patients

7
Q

What are the symptoms of cervical cancer?

A

Abnormal vaginal bleeding / discharge

Intermenstrual bleeding

Post-coital bleeding

Dyspareunia

8
Q

If a woman has symptoms of cervical cancer, they should receive a ___ test.

A

diagnostic test

9
Q

What does cervical screening involve?

A

Gynaecological examination

Visual examination, then smear sample from transformation zone of cervix

10
Q

Women of which ages are offered cervical screening?

A

25 - 64 years old

11
Q

How often are women aged

a) 50 - 65
b) 25 - 49

offered cervical screening?

A

a) Every 5 years

b) Every 3 years

12
Q

From where are cervical smears taken?

A

Squamocolumnar junction / Transformation zone

13
Q

What is the coverage of a screening test?

A

Number of people being screened / Number of ELIGIBLE people

14
Q

What is the uptake of a screening test?

A

Number of people being screened / Number of people INVITED for screening

15
Q

Does coverage and uptake of a screening test mean the same thing?

A

No

Coverage takes into account everyone who could benefit (eligible)

Uptake takes into account everyone who was invited for screening; not everyone who is eligible is invited

16
Q

Which virus causes cervical cancer?

A

HPV

17
Q

Which types of HPV are known to cause

a) genital warts
b) cervical cancer?

A

a) Genital warts - HPV 6 & 11

b) Cervical cancer - HPV 16 & 18

18
Q

Who is currently vaccinated for cervical cancer?

A

Girls in S1 - S3

MSM < 45 years old

19
Q

Which types of HPV are now vaccinated against?

A

6

11

16

18

i.e those most responsible for genital warts AND cervical cancer

20
Q

What is the HPV vaccine called?

A

Gardasil

21
Q

Which percentage of cervical cancers are caused by HPV 16 & 18?

A

70%

22
Q

HPV vaccination removes the need for cervical screening - true or false?

Why?

A

False

Vaccinates against HPV 16 & 18, which cause 70% of cervical cancers - therefore 30% of cancers aren’t vaccinated against