All the statements are true for Dysentery except

Appeared in: MP CHO -2019 (Shift-2)

Explanation

The presence of worms in stools is a direct sign of a helminthic (parasitic worm) infestation, such as ascariasis or enterobiasis.
Dysentery is an inflammatory condition of the intestines, most commonly caused by bacteria (like Shigella) or amoebas (like Entamoeba histolytica).
While some heavy worm infestations (like Trichuriasis) can cause dysentery-like symptoms, seeing worms in the stool is not a defining feature of dysentery in general.

Option A: This is a hallmark sign of dysentery. The inflammation and ulceration of the colonic mucosa lead to bleeding, which mixes with the stool.
Option B: This is a classic symptom. The irritation and inflammation of the large intestine trigger frequent urges to defecate, though the volume of each movement is often small.
Option C: This is a characteristic symptom of dysentery. Tenesmus is the feeling of constantly needing to pass stools, accompanied by pain and cramping, due to inflammation of the rectum.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Clinical features of Dysentery as background academic context rather than a clinical decision trigger.
Nurses must prioritize the assessment for dehydration in patients with dysentery by checking for dry mucous membranes, poor skin turgor, tachycardia, and decreased urine output. Prompt initiation of Oral Rehydration Solution (ORS) is vital.
Implementing strict infection control measures, including contact precautions and meticulous hand hygiene, is crucial to prevent the nosocomial spread of infectious dysentery.
A stool sample should be collected for culture and sensitivity to identify the causative organism (bacterial, amoebic) and guide appropriate antimicrobial therapy.

How to Approach the Question

This is a negative-lead question using the word 'except'. The task is to identify the statement that is FALSE or does not apply to the condition mentioned.
First, define the core concept: Dysentery is an inflammatory intestinal condition.
Recall the classic symptoms of dysentery: bloody/mucoid stools, frequent bowel movements, abdominal cramps, and tenesmus.
Evaluate each option against this definition:
A. 'Presence of blood in stools' - This is a hallmark of dysentery. So, this statement is true.
B. 'Increased frequency of motion' - This is a classic symptom. So, this statement is true.

Concept Tested & Keywords

Concept Tested: Clinical features of Dysentery
Stem keywords: Dysentery, statements, true
Lead-in keywords: except
Negative lead-in flag: The question asks for the exception among the given statements.

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Practise the full MP CHO -2019 (Shift-2)

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