Match List - I with List - II and select the correct answer using the code given below the lists:

List - I
A. Soft tick
B. Hard tick
C. Louse
D. Sand fly

List - II

1. Relapsing fever
2. Oriental sore
3. Tularemia
4. Epidemic typhus

1. A

   A-3, B-4, C-2, D-1

2. B

   A-4, B-2, C-1, D-3

3. C

   A-2, B-1, C-3, D-4

4. D

   A-1, B-3, C-4, D-2

Appeared in: UPPSC 2022

Explanation

• The correct option establishes the accurate links between specific arthropod vectors and the diseases they transmit.
• Soft ticks (family Argasidae) are known vectors for Borrelia species, which cause tick-borne relapsing fever.
• Hard ticks (family Ixodidae) transmit Francisella tularensis, the bacterium responsible for Tularemia.
• The human body louse (Pediculus humanus corporis) is the classic vector for Rickettsia prowazekii, the agent of epidemic typhus.
• Sand flies (genus Phlebotomus) transmit Leishmania tropica, the protozoan parasite that causes cutaneous leishmaniasis, also known as Oriental sore.

Why Other Options Were Wrong

• Option A: This option incorrectly matches Soft tick with Tularemia (transmitted by hard ticks), Hard tick with Epidemic typhus (transmitted by lice), Louse with Oriental sore (transmitted by sand flies), and Sand fly with Relapsing fever (transmitted by soft ticks).
• Option B: This option incorrectly pairs Soft tick with Epidemic typhus, Hard tick with Oriental sore, Louse with Relapsing fever, and Sand fly with Tularemia. All matches are incorrect.
• Option C: This option incorrectly pairs Soft tick with Oriental sore, Hard tick with Relapsing fever, Louse with Tularemia, and Sand fly with Epidemic typhus. All matches are incorrect.

Related Visual

Clinical Relevance

• Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Vector-Borne Disease Transmission as background academic context rather than a clinical decision trigger.
• Identifying the correct vector is crucial for public health nurses to initiate appropriate community-level interventions, such as vector control programs and health education on personal protection.
• A patient's travel and environmental exposure history is a key assessment component when a vector-borne illness is suspected.
• What if? If a patient from a rural, wooded area presents with fever, headache, and a characteristic skin ulcer at the site of a tick bite, the nurse should have a high index of suspicion for Tularemia (transmitted by hard ticks) and ensure appropriate diagnostic tests are ordered.

How to Approach the Question

• This is a 'Match the Following' question that tests your recall of vector-borne diseases.
• First, carefully read the items in both List-I (Vectors) and List-II (Diseases).
• Try to find one or two pairs that you are confident about. For instance, the link between Louse and Epidemic Typhus (C-4) is a classic association.
• Next, look at the options provided. Eliminate any options that do not contain the C-4 pairing. This significantly narrows down your choices.
• Now, try to match another pair. The connection between Sand fly and Oriental sore (D-2) is also well-known.
• Select the option that correctly incorporates both of your confirmed pairs (C-4 and D-2). In this case, only one option will satisfy these conditions.

Concept Tested & Keywords

• Concept Tested: Vector-Borne Disease Transmission
• Stem keywords: Soft tick, Hard tick, Louse, Sand fly, Relapsing fever, Oriental sore, Tularemia, Epidemic typhus
• Lead-in keywords: Match List - I with List - II
• Negative lead-in flag: false

Question ID

QIRBFwoMJ1o-eI2cxvT5mQ

Copy ID

Reference Book

E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart A (pp 1-275 of 550) p. 2-4

E6 Microbiology Applied AnjuDhir 3e Part 2 p. 61-63