<prompt> Following patients turn up for routine gynecological examination in OPD. None of them have had any cervical cancer screening in the past 5 years. Pap smear is recommended for all except:35-year-old woman60-year-old woman28-year-old woman who has been vaccinated for HPV19-year-old sexually active woman  <response>: Ans. D. 19 year old sexually active womanScreening for cervical cancer:a. 21 years no screening - sexual history is not a considerationb. 21 - 29 years cytology alone very 3 yearsc. 30 - 65 years preferred is HPV and cytology contesting every 5 yearsd. 65 years Screening can be discontinued after either three consecutive negative cytology tests or two negative cytology and HPV tests within 10 years, provided the most recent test was within 5 yearse. No screening needed after total hysterectomy, provided no history of CIN or cancer in the past 20 yearsf. HPV vaccinated individuals follow same age specific recommendations. 