All diseases spread through the respiratory route, except for which one of the following?

Appeared in: MP CHO -2019 (Shift-1)

Explanation

Typhoid fever is caused by the bacterium Salmonella typhi.
Its primary mode of transmission is the fecal-oral route.
This occurs through the ingestion of food or water that has been contaminated with the feces of an infected person or a chronic carrier.
Unlike the other options, it does not spread through coughing, sneezing, or airborne particles.

Option A: Influenza is a classic respiratory illness that spreads through droplets generated when an infected person coughs, sneezes, or talks.
Option B: Mumps is a viral disease that spreads through direct contact with saliva or respiratory droplets from the mouth, nose, or throat of an infected person.
Option C: Measles is a highly contagious viral disease that spreads through the air when an infected person coughs or sneezes. It is transmitted via both respiratory droplets and smaller airborne particles.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Modes of disease transmission and infection control as background academic context rather than a clinical decision trigger.
A nurse must accurately identify a disease's transmission route to implement the correct type of isolation precautions (Standard, Contact, Droplet, or Airborne), which is fundamental to preventing nosocomial (hospital-acquired) infections.
For a patient with Typhoid, the nurse's priority is enforcing contact precautions and meticulous hand hygiene, especially after using the toilet, and ensuring the patient has access to a separate, clean bathroom if possible.
Patient education on handwashing, food safety, and clean water is a key nursing role in preventing the spread of fecal-oral diseases like Typhoid in the community.

How to Approach the Question

First, identify the keyword 'except' in the question stem. This indicates you are looking for the option that does not fit the stated category.
The category given is 'spread through the respiratory route'.
Review each option and recall its primary mode of transmission.
Evaluate Influenza: Spreads via respiratory droplets.
Evaluate Mumps: Spreads via respiratory droplets.
Evaluate Measles: Spreads via airborne respiratory particles.

Concept Tested & Keywords

QO3PBd_LgUFIg7MVxvZLHQ

E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart A (pp 1-275 of 550) p. 31-33

E6 Medicine Harrison 22e Part 1 p. 1575-1577

Practise the full MP CHO -2019 (Shift-1)

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