RUHS, Jaipur, PB B.Sc Nursing Entrance-2019
Applied Microbiology & Infection control
Easy

The mode of transmission in which diseases are transmitted due to coughing, sneezing or talking to an infected person is?

Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2019

Explanation

  • Droplet infection is the correct mode of transmission described.
  • It occurs when respiratory droplets are generated by an infected person through actions like coughing, sneezing, or talking.
  • These droplets are propelled a short distance (typically less than 1 meter) and land on the mucous membranes (eyes, nose, mouth) of a nearby person.
  • Diseases like influenza, the common cold, and pertussis are spread this way.

Why Other Options Were Wrong

  • Option B: Transplacental transmission is from mother to fetus via the placenta, not through respiratory secretions.
  • Option C: Inoculation involves the pathogen entering through a break in the skin or mucosa, such as a needle stick or bite, not through inhalation of droplets.
  • Option D: Vector-borne transmission requires an intermediate living carrier, like a mosquito or tick, to transmit the disease.

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 Modes of Disease Transmission as background academic context rather than a clinical decision trigger.
  • Understanding the mode of transmission is fundamental for nurses to implement the correct infection control precautions (e.g., Standard, Contact, Droplet, or Airborne).
  • Using the wrong precautions can lead to nosocomial (hospital-acquired) infections, endangering both patients and healthcare workers.
  • What if? If the question mentioned a patient with tuberculosis, the answer would change. Tuberculosis is spread via airborne transmission (droplet nuclei smaller than 5 micrometers), which would require an N95 respirator and a negative-pressure isolation room, not just a surgical mask.
How to Approach the Question
  • First, identify the key actions described in the question stem: 'coughing, sneezing or talking'.
  • Recognize that these actions produce respiratory secretions.
  • Recall the different modes of disease transmission and their definitions.
  • Match the action of expelling respiratory secretions with the correct mode. 'Droplet infection' specifically describes transmission via these large respiratory particles over a short distance.
  • Eliminate the other options by comparing their definitions: Transplacental (mother-to-fetus), Inoculation (break in skin), and Vector-borne (insect/animal carrier).
Concept Tested & Keywords
  • Concept Tested: Modes of Disease Transmission
  • Stem keywords: mode of transmission, coughing, sneezing, talking
  • Lead-in keywords: is

Question ID

QBFYjRalNXT5A1t906zT_3

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart A (pp 26-201 of 604) pp. 91-93, 90-92

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