Which of the following is NOT a criterion for average-risk cervical cancer screening?

• A. Has a cervix
• B. Is asymptomatic
• C. Has no DES exposure
• D. Has a history of abnormal screening

Answer: (D)

Average-risk cervical cancer screening is designed for individuals who have a cervix, are asymptomatic, and do not have high-risk factors such as DES exposure. Having a cervix is the anatomical prerequisite for this screening. The screening is intended for people without symptoms suggesting cervical pathology, so being asymptomatic is part of who gets routine screening. DES exposure is a historical risk factor that would shift someone away from average risk, because in utero exposure to diethylstilbestrol can increase cervical and vaginal cancer risk and alter screening recommendations. A history of abnormal screening, however, signals prior abnormal results and typically requires a different follow-up pathway (e.g., closer surveillance or diagnostic evaluation) rather than routine average-risk screening. Therefore, the statement about a history of abnormal screening is not a criterion for average-risk status.