AIIMS Raipur NO- 2019 (shift 3rd)
Community Health Nursing
Easy

Which test is done to find out the presence of free chlorine and chloramines in water?

Appeared in: AIIMS Raipur NO- 2019 (shift 3rd)

Explanation

  • The Orthotolidine (OT) test is the correct method for determining the presence of both free chlorine and combined chlorine (chloramines) in water.
  • It works via a colorimetric reaction; the Orthotolidine reagent turns yellow in the presence of chlorine, and the color's intensity indicates the concentration.
  • The test can differentiate between chlorine types based on reaction time. Free chlorine reacts instantly (within 10 seconds), while combined chlorine reacts slowly (taking 15-20 minutes).
  • A modification, the Orthotolidine-Arsenite (OTA) test, can be used for more precise, separate measurements of free and combined chlorine.

Why Other Options Were Wrong

  • Option B: Breakpoint chlorination is a term for a water treatment process, not a diagnostic test. It describes the point at which the chlorine demand of water is met.
  • Option C: Chlorination is the general name for the process of adding chlorine to water for disinfection.
  • Option D: Bleaching powder is a chemical substance (calcium hypochlorite) that is used to disinfect water. It is a source of chlorine, not a test to measure it.

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 Water quality testing for residual chlorine as background academic context rather than a clinical decision trigger.
  • As a community health nurse, understanding water purification and testing is crucial for preventing waterborne diseases like cholera, typhoid, and dysentery.
  • Nurses play a key role in educating communities about safe drinking water practices, including methods for household water purification and the importance of maintaining clean water sources.
  • What if? If a water sample is highly turbid (cloudy), the Orthotolidine test results can be inaccurate. In such a case, the nurse should advise that the water must be filtered or allowed to settle before disinfection and testing to ensure effectiveness.
How to Approach the Question
  • First, identify the core of the question. The keyword here is 'test'. The question is asking for a method used to measure or detect something.
  • Analyze the options to see which one is a 'test' versus a 'process' or a 'substance'.
  • Option A, 'Orthotolidine test', explicitly includes the word 'test'.
  • Options B ('Breakpoint chlorination') and C ('Chlorination') describe processes related to water treatment.
  • Option D ('Bleaching powder') is a chemical substance.
  • Based on this analysis, the only option that is a test is the Orthotolidine test, making it the most logical answer.
Concept Tested & Keywords
  • Concept Tested: Water quality testing for residual chlorine
  • Stem keywords: test, free chlorine, chloramines, water
  • Lead-in keywords: Which test

Question ID

Q-NwKLHv7mnjpwUhuIyw4C

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart B (pp 233-449 of 464) p. 32-34

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