GMCH Chandigarh - 2022
Medical Surgical Nursing
Medium

All of the following diseases can be affected by lifestyle behavior except?

Appeared in: GMCH Chandigarh - 2022

Explanation

  • Type 1 Diabetes is an autoimmune disorder where the body's immune system attacks and destroys the insulin-producing beta cells in the pancreas.
  • The onset of Type 1 Diabetes is not caused by lifestyle factors such as diet or lack of exercise.
  • Primary risk factors include genetic susceptibility and environmental triggers like viral infections.
  • While lifestyle management is critical for controlling blood sugar after diagnosis, it does not prevent the disease from occurring.

Why Other Options Were Wrong

  • Option A: Cardiovascular diseases are strongly influenced by modifiable lifestyle risk factors, including unhealthy diet, physical inactivity, tobacco use, and excessive alcohol consumption.
  • Option B: Many types of cancer are considered lifestyle diseases. For example, lung cancer is strongly linked to smoking, and colorectal cancer is associated with diet.
  • Option C: Hypertension (high blood pressure) is a classic lifestyle-related disease. Its primary risk factors include high-sodium diets, obesity, lack of exercise, and stress.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Differentiating between autoimmune diseases and lifestyle-related non-communicable diseases (NCDs) as background academic context rather than a clinical decision trigger.
  • A nurse's role in patient education differs significantly between these conditions. For lifestyle diseases (CVD, cancer, hypertension), education focuses on primary prevention through diet, exercise, and smoking cessation.
  • For Type 1 Diabetes, patient education centers on disease management: teaching insulin administration, blood glucose monitoring, carbohydrate counting, and recognizing signs of hypoglycemia/hyperglycemia.
  • What if the option was 'Type 2 Diabetes'? In that case, the question would have no correct answer, as all four options (Cardiovascular disease, Cancer, Hypertension, and Type 2 Diabetes) are significantly affected by lifestyle behaviors.
How to Approach the Question
  • First, identify the negative framing of the question by spotting the word 'except'. This means you are looking for the option that does NOT fit the described category.
  • The category is 'diseases affected by lifestyle behavior'.
  • Evaluate each option to determine if its primary cause is related to lifestyle.
  • Recall that cardiovascular disease, many cancers, and hypertension are well-known non-communicable diseases (NCDs) with strong links to diet, exercise, and habits like smoking.
  • Differentiate between Type 1 and Type 2 diabetes. Remember that Type 1 is an autoimmune condition, whereas Type 2 is strongly associated with lifestyle.
  • Select Type 1 Diabetes as the outlier, as its cause is autoimmune, not behavioral.
Concept Tested & Keywords
  • Concept Tested: Differentiating between autoimmune diseases and lifestyle-related non-communicable diseases (NCDs).
  • Stem keywords: diseases, lifestyle behavior
  • Lead-in keywords: except
  • Negative lead-in flag: The question asks for the exception among the given options.

Question ID

Qzc55NqZuRtHvL7OcSWgHT

Reference Book

E6 Textbook of Biochemistry for medical StudentsDM Vasudevan Part 1 (pp 26-370 of 370) p. 342-344

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) p. 65-67

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