Obstetrics & gynaecology · UKMLA & AKT
Cervical screening (HPV)
A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise cervical screening (hpv) — the full SA Note notes add investigations, management, complications and 10 practice questions.
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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