UP NHM CHO 7 Sept 2022(shift-1st)
Community Health Nursing
Easy

Sewage does not contain ______.

Appeared in: UP NHM CHO 7 Sept 2022(shift-1st)

Explanation

  • Solid waste from industries is, by definition, solid material and is managed separately from liquid waste streams.
  • Sewage is defined as wastewater from a community, which is primarily liquid, containing dissolved and suspended solids.
  • Industrial solid waste includes materials like scrap metal, plastics, and other non-liquid byproducts that are not transported through sewer systems.
  • Waste management systems have distinct pathways for liquid waste (sewerage) and solid waste (garbage collection, landfills).

Why Other Options Were Wrong

  • Option A: Human excreta (feces and urine) is a primary and defining component of sewage, often referred to as blackwater.
  • Option B: Wastewater from bathrooms (from showers, sinks, and tubs) is a major type of domestic sewage, known as greywater or sullage.
  • Option C: Wastewater from domestic kitchens is another form of greywater/sullage and a standard component of municipal sewage.

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 Composition of Sewage and Waste Classification as background academic context rather than a clinical decision trigger.
  • Understanding the composition of sewage is crucial for public health nurses to assess risks of waterborne diseases like cholera, typhoid, and hepatitis A, which are transmitted through fecal contamination of water.
  • Proper sewage management is a cornerstone of community sanitation and disease prevention. Improper disposal can lead to contamination of soil, water supplies, and food.
  • What if? If industrial liquid waste (effluent) containing heavy metals enters the sewage system, it requires specialized tertiary treatment at the plant to prevent environmental toxicity and harm to human health. This is different from managing solid industrial waste.
How to Approach the Question
  • First, identify the key term in the question: 'sewage'.
  • Next, note the negative framing: 'does not contain'. This means you are looking for the option that is an exception.
  • Recall or deduce the fundamental definition of sewage. It is primarily liquid waste or 'wastewater'.
  • Evaluate each option against this definition. Human excreta, bathroom water, and kitchen water are all sources of wastewater.
  • The option 'Solid waste from industries' is explicitly 'solid', not 'wastewater'. This makes it the correct exception and the right answer.
Concept Tested & Keywords
  • Concept Tested: Composition of Sewage and Waste Classification
  • Stem keywords: Sewage, contain
  • Lead-in keywords: does not
  • Negative lead-in flag: Question is negatively framed (asks what is NOT included)

Question ID

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Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart B (pp 233-449 of 464) p. 78-80

E6 Comprehensive Textbook of Community Health NursingShyamala D part 1 (pp 26-389 of 389) p. 179-181

Practise the full UP NHM CHO 7 Sept 2022(shift-1st)

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

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