Obstetrics & gynaecology · UKMLA & AKT
Cervical screening (HPV)
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
Key high-yield points
- Offered to all boys and girls aged 12-13 (school year 8) as part of the NHS routine immunisation schedule
- Vaccine used in UK: Gardasil 9 - protects against HPV types 6, 11, 16, 18, 31, 33, 45, 52, 58
- HPV 16 & 18 cause ~70% of cervical cancers; HPV 6 & 11 cause ~90% of genital warts
- Boys included since 2019 - also protects against oropharyngeal, anal, vulval, vaginal, and penile HPV-related cancers
- Most effective before first sexual contact; catch-up programme available for older adolescents
Vaccination does NOT replace cervical screening - no vaccine covers all oncogenic HPV types.
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