DSSSB - 29 August 2019 (Shift-1)
Applied Microbiology & Infection control
Easy

The protozoa causing sexually transmitted diseases are?

Appeared in: DSSSB - 29 August 2019 (Shift-1)

Explanation

  • The question asks to identify the protozoan that causes a sexually transmitted disease.
  • Trichomonas vaginalis is a flagellated protozoan parasite.
  • It is the causative agent of trichomoniasis, one of the most common sexually transmitted infections worldwide.
  • Unlike bacteria or viruses, protozoa are single-celled eukaryotic organisms.

Why Other Options Were Wrong

  • Option A: Herpes simplex virus is a virus, not a protozoan. It belongs to the viral category of pathogens.
  • Option C: Gonococcus, or Neisseria gonorrhoeae, is a bacterium, not a protozoan. It is a common bacterial cause of STIs.
  • Option D: Chlamydia, caused by the bacterium Chlamydia trachomatis, is a bacterial pathogen, not a protozoan.

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 Classification of pathogens causing sexually transmitted infections (STIs) as background academic context rather than a clinical decision trigger.
  • Correctly identifying the type of pathogen (protozoa, bacteria, or virus) is fundamental for selecting the appropriate antimicrobial treatment. For example, antibiotics used for bacteria like Gonococcus or Chlamydia are ineffective against the protozoan Trichomonas.
  • Patient education is a key nursing role. For trichomoniasis, it is critical to advise the patient that all sexual partners must be treated concurrently to prevent a cycle of reinfection.
  • What if? If a patient presents with a malodorous vaginal discharge but the wet mount is negative for Trichomonas, the nurse should consider other causes like bacterial vaginosis, which presents with a 'fishy' odor and is diagnosed by finding 'clue cells' on microscopy.
How to Approach the Question
  • First, identify the core requirement of the question, which is to find the 'protozoa' among the options.
  • Define 'protozoa' in your mind: a single-celled eukaryotic organism.
  • Systematically evaluate each option based on its biological classification.
  • Option A: Herpes simplex is a well-known virus. Eliminate it.
  • Option B: Recall or deduce that Trichomonas is a protozoan parasite.
  • Option C: Gonococcus (Neisseria gonorrhoeae) is a bacterium. Eliminate it.
Concept Tested & Keywords
  • Concept Tested: Classification of pathogens causing sexually transmitted infections (STIs).
  • Stem keywords: protozoa, sexually transmitted diseases
  • Lead-in keywords: BEST, MOST RELEVANT CLUE
  • Negative lead-in flag: false

Question ID

QNV7WuGnS9KqDF4IS3m46P

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart B (pp 202-403 of 604) p. 196-198

E6 Nelson Textbook of Pediatrics(2024) — Volume 1 p. 2160-2162

E6 Medicine Harrison 22e Part 1 p. 1849-1851

Practise the full DSSSB - 29 August 2019 (Shift-1)

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

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