[03.13.2024] Other, AnKing Overhaul for Step 1 & 2/AnKingMed, ID 1186775

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AMBOSS agrees with this - infection with HPV is the most common cause of cervical cancer but most common cause of HPV is multiple sexual partners
https://next.amboss.com/us/article/ZO0ZIT?q=risk%20factor%20for%20cervical%20carcinoma#Y93c6d33626af4d077b9ab24562657322

could we add that to the extra?
i feel that’s something that should be on the card to explain the change

Yeah. Thinking either we change text to say "What is the #1 risk factor for cervical carcinoma caused by HPV? and keep the original answer

Or change the answer and add a note to extra

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IMO they aren’t synonymous.
MMC ≠ #1 Risk factor

but I would be okay with:

What is the #1 risk factor for HPV related cervical carcinoma?

{{c1::Multiple sexual partners}}

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@AnKing-Maintainers

FA 2024 (pg. 663) does list multiple sex partners and HPV as separate risk factors

Have always found this card a bit silly but could never think of a good fix. I think what you’ve suggested above will at least stop me from answering HPV every time this card comes up

The logic I use is that HPV is the #1 risk factor for cervical cancer, but Multiple sex partners is the #1 risk factor for HPV. So depending on the interepration of risk factor (i.e. behaviors, genetic predilection, etc.) both HPV and multiple partners are equally valid answers.

I think easiest fix is to just put “behavior” or “besides HPV” in the cloze hint and mention that both have been listed as #1 list factors in the extra section.

I think it would be very cruel for someone to make a test question asking the top cause of cervical cancer and listing both risk factors in the answer choices.

I’ve submitted a separate suggestion (well, actually 2) to this card. As I stated in the comments on one of the other suggestions, it’s like having a card saying ‘what is the biggest risk factor for pneumocystis pneumonia’ and the answer being ‘unprotected sex’ rather than ‘HIV/AIDS’. Basically all cervical carcinoma is due to HPV.