A nurse is educating a group of parents about meningitis and its transmission. Which of the following statements by the nurse is accurate regarding the transmission of viral meningitis?
"Viral meningitis is usually transmitted through ingestion of raw or undercooked snails or slugs.”
"The vector of viral meningitis is the infected person, and the reservoir is the human body.”
"Viral meningitis can be caused by Neisseria meningitidis and Streptococcus pneumoniae.”
"Viral meningitis is usually transmitted through direct contact with respiratory droplets.”
"The vector of viral meningitis is the fungus, and the reservoir is the environmental source.”
The Correct Answer is D
Choice D rationale:
Viral meningitis is usually transmitted through direct contact with respiratory droplets. It can also be spread through contact with fecal matter and other body fluids. In contrast, bacterial meningitis has multiple routes of transmission, including respiratory droplets, direct contact, and contaminated food or water.
Choice A rationale:
Ingestion of raw or undercooked snails or slugs is associated with a parasitic infection called "rat lungworm" and not viral meningitis.
Choice B rationale:
While the infected person can act as a vector for the spread of viral meningitis, the primary mode of transmission is through respiratory droplets and not the human body itself. The reservoir for viral meningitis is often human carriers, but it can also exist in other animals or environmental sources.
Choice C rationale:
Neisseria meningitidis and Streptococcus pneumoniae are bacterial pathogens that can cause bacterial meningitis, not viral meningitis.
Choice E rationale:
Viral meningitis is not caused by a fungus, and environmental sources are not the reservoirs for viral meningitis transmission. It is mainly transmitted from person to person.
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Correct Answer is D
Explanation
Choice A rationale:
All types of meningitis cannot be prevented by vaccination. While vaccinations are available for certain types of bacterial and viral meningitis, they do not cover all possible pathogens that can cause the disease.
Choice B rationale:
Meningitis can be prevented through prophylaxis measures, but this statement is not entirely accurate. Prophylaxis may be given to close contacts of individuals with certain types of bacterial meningitis to prevent its spread, but it does not apply to all cases of meningitis.
Choice C rationale:
Infection control measures are effective in preventing meningitis outbreaks. This statement is incorrect as infection control measures are crucial in controlling the spread of infections, but they cannot entirely prevent all cases of meningitis.
Choice D rationale:
Hygiene practices, such as regular handwashing and proper respiratory etiquette, play a significant role in preventing meningitis transmission. By reducing the spread of respiratory and oral pathogens, the risk of meningitis can be lowered. However, it is important to note that not all forms of meningitis are entirely preventable through hygiene practices alone, which is why vaccination remains a critical preventive measure for specific types of meningitis.
Correct Answer is C
Explanation
Choice A rationale:
A cloudy appearance of cerebrospinal fluid (CSF) can indicate the presence of white blood cells and bacteria, suggesting an infection. However, it is not specific to bacterial or fungal infection and can also be seen in viral meningitis or non-infectious conditions like multiple sclerosis.
Choice B rationale:
Increased pressure in the CSF may occur in meningitis due to the inflammation and accumulation of fluid. While it can raise suspicion for meningitis, it is not specific to bacterial or fungal infection and can also be observed in other intracranial conditions.
Choice C rationale:
Decreased glucose levels in the CSF are a characteristic finding in bacterial or fungal meningitis. The invading bacteria or fungi consume glucose, leading to lower levels in the CSF compared to normal blood glucose levels. This finding helps differentiate bacterial or fungal meningitis from viral meningitis, where glucose levels are usually normal.
Choice D rationale:
Elevated protein levels in the CSF can be seen in various conditions, including meningitis. While it indicates increased inflammation and breakdown of cells, it is not specific to bacterial or fungal infection and can be present in viral or other forms of meningitis.
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