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Question

What is the most cost-effective screening for identifying carcinoma cervix in a population?

The correct answer is
High risk selective screening

Cost-Effective Cervical Cancer Screening Strategy

The most cost-effective method for identifying carcinoma cervix in a population is high risk selective screening.

Rationale for High Risk Selective Screening

  • This approach focuses resources on individuals with a higher probability of developing cervical cancer (e.g., based on age, HPV status, sexual history, or previous abnormal results).
  • By concentrating screening efforts on this subset, overall costs are reduced compared to screening the entire population (mass screening).
  • It maximizes the yield of positive cases relative to the resources invested, making it more efficient.

Evaluating Other Screening Options

  • Mass screening involves testing everyone, which can be very expensive and may over-allocate resources to low-risk individuals.
  • Multiphasic screening uses multiple tests simultaneously or sequentially, which often increases costs significantly.
  • Prospective screening involves observing individuals over time, which is typically used for follow-up or research and isn't the primary method for initial, cost-effective population identification.

Therefore, targeting screening towards high-risk groups offers the best balance between effectiveness and cost for carcinoma cervix detection.

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Important Questions from Preventive Medicine

  1. Consider the following statement : 

    "The people should seek to preserve their traditional eating patterns and life-styles associated with low levels of Coronary Heart Disease (CHD)." 

    Which level of prevention is implied in this statement?

  2. Which of the following criteria must be met by a disease before it is to be considered suitable for a screening programme?
    1. The natural history of the disease should be adequately understood.
    2. No effective treatment should exist for the disease.
    3. The disease should not have a recognizable latent or asymptomatic stage.
    4. There should be a test that can detect the disease prior to onset of signs and symptoms.

    Select the correct answer using the code given below.
  3. Determination of alpha-fetoprotein levels in maternal serum is a useful screening tool for
  4. In primary immune response, how much more antigenic dose is required to induce IgG antibodies as against the induction of IgM antibodies?

  5. Which among the following is/are the examples of primordial prevention ?
    1. Adopting healthy lifestyles from childhood
    2. Immunization of infants
    3. Screening of cervical cancer
    Select the correct answer using the code given below:
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