All of the following are predisposing factors for Carcinoma Cervix, except -

Appeared in: UPPSC 2023

Explanation

Single child birth, which represents low parity, is not considered a significant predisposing factor for cervical cancer.
In contrast, high parity (multiparity), defined as having many children, is a known risk factor that can increase the risk severalfold.
The other options are all recognized risk factors or strong proxies for risk factors related to increased exposure to Human Papillomavirus (HPV).

Option B: Early coitus (sexual intercourse) is a major risk factor because it increases the duration of potential exposure to high-risk HPV strains, the primary cause of cervical cancer.
Option C: Early childbearing is a known risk factor. Hormonal changes during pregnancy and physical trauma to the cervix during delivery are thought to increase susceptibility to persistent HPV infection.
Option D: Early marriage is considered a sociological risk factor as it often serves as a proxy for early coitus and early childbearing, both of which are established biological risk factors.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Risk factors for cervical cancer as background academic context rather than a clinical decision trigger.
Nurses play a crucial role in educating patients about cervical cancer prevention, including the importance of HPV vaccination, regular screening (Pap/HPV tests), and modifying lifestyle risk factors.
Identifying patients with multiple risk factors allows nurses to provide targeted counseling and reinforce the need for adherence to screening guidelines.
What if? If a patient is immunosuppressed (e.g., due to HIV or post-transplant medication), her risk for developing cervical cancer from an HPV infection is significantly higher. The nurse must emphasize the importance of more frequent and specialized screening protocols for this high-risk population.

How to Approach the Question

Recognize that this is a negative-lead question asking for the 'exception'. You need to identify the option that is NOT a risk factor.
Recall the primary cause of cervical cancer: persistent infection with high-risk Human Papillomavirus (HPV).
Evaluate each option based on its relationship to HPV exposure and persistence.
Analyze the options: 'Early coitus', 'Early child bearing', and 'Early marriage' are all linked to increased opportunities for HPV infection.
Consider 'Single child birth'. While high parity (many births) is a risk factor, having only one child is not a major predisposing factor. It stands out as the least likely risk factor among the choices.
Select 'Single child birth' as the correct exception.

Concept Tested & Keywords

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E6 Gynecology Williams pp. 240-293, 212-256

Practise the full UPPSC 2023

Attempt every question from this paper in a timed mock, then review the full solution for each one.