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Question

Visual inspection based screening test with 5% acetic acid is used for the screening of which one of the following cancers?

The correct answer is
Cervix cancer

Screening Test Explained

The question asks about a visual inspection screening test that uses a 5% solution of acetic acid. This specific test is known as Visual Inspection with Acetic Acid (VIA).

VIA Test Application

The VIA test is primarily used for the screening of Cervix cancer. It's a simple, low-cost method suitable for resource-limited settings.

How the VIA Test Works

  • A solution of acetic acid (vinegar), typically 5%, is applied to the cervix.
  • The acetic acid causes precancerous lesions or abnormal cells on the cervix to turn white (a process called aceto-whitening).
  • This whitening effect allows healthcare providers to visually identify suspicious areas during speculum examination.
  • The intensity and nature of the white areas help determine if further investigation, like a biopsy or colposcopy, is needed.

Why Not Other Cancers?

  • Lung Cancer: Screened using methods like low-dose CT scans, sputum cytology, and symptom evaluation. Acetic acid has no role here.
  • Oral Cancer: While visual inspection is part of oral cancer screening, 5% acetic acid is not the standard agent. Specific dyes or light devices might be used, but VIA is not typical.
  • Breast Cancer: Screened via mammography, clinical breast exams, and ultrasound. Acetic acid is irrelevant for breast cancer screening.

Conclusion

Therefore, the visual inspection screening test with 5% acetic acid is specifically employed for identifying potential abnormalities related to Cervix cancer.

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