MP CHO -2019 (Shift-2)
Applied Microbiology & Infection control
Easy

Which of the following diseases is mainly spread through Feco-Oral Route?

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

Explanation

  • Poliomyelitis is caused by the poliovirus, which is a member of the enterovirus group.
  • The virus enters the body through the mouth, primarily multiplies in the pharynx and gastrointestinal tract, and is shed in the feces.
  • This shedding in feces allows the virus to spread to others through contaminated water, food, or hands, which is known as the fecal-oral route of transmission.
  • This mode of transmission is particularly common in areas with poor sanitation and hygiene.

Why Other Options Were Wrong

  • Option A: Hepatitis B is primarily transmitted through parenteral (blood), sexual, and perinatal (mother-to-child) routes, not through the fecal-oral route.
  • Option B: Diphtheria is a bacterial infection spread from person to person through respiratory droplets, typically from coughing or sneezing.
  • Option D: Tetanus is caused by bacterial spores (Clostridium tetani) from the environment (like soil or dust) entering a wound. It is not transmitted from person to person by any route.

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 transmission for infectious diseases, specifically the fecal-oral route as background academic context rather than a clinical decision trigger.
  • Nurses play a vital role in patient education regarding hygiene and sanitation to prevent fecal-oral transmission. This includes teaching proper handwashing techniques.
  • Vaccination is a cornerstone of preventing these diseases. Nurses are responsible for administering vaccines like the Oral Polio Vaccine (OPV) and educating families about immunization schedules.
  • In a community health setting, identifying the source of an outbreak is critical. Understanding that polio spreads via the fecal-oral route helps direct public health interventions, such as testing water supplies and promoting sanitation.
How to Approach the Question
  • First, identify the key term in the question: 'Feco-Oral Route'. This is the central concept you need to match with the options.
  • Consider each option one by one and recall its primary mode of transmission.
  • Evaluate 'Hepatitis B'. Recall that it is mainly a blood-borne and sexually transmitted infection.
  • Evaluate 'Diphtheria'. Recall that it is a respiratory illness spread by droplets.
  • Evaluate 'Polio'. Recall that poliovirus is an enterovirus that is shed in stool, making the fecal-oral route its main mode of transmission.
  • Evaluate 'Tetanus'. Recall that it is acquired from the environment through wounds, not from person to person.
Concept Tested & Keywords
  • Concept Tested: Modes of transmission for infectious diseases, specifically the fecal-oral route.
  • Stem keywords: diseases, spread, Feco-Oral Route
  • Lead-in keywords: mainly
  • Negative lead-in flag: false

Question ID

QAu9pbXqQLXexy1Boh5i5G

Reference Book

E6 Text Book Of Pediatric Nursing 3rd Panchali Pal — Part 3 (pp 477-702 of 713) p. 68-70

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart B (pp 202-403 of 604) p. 56-58

E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart A (pp 1-275 of 550) p. 93-95

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.