**Core Concept**
The question is testing the identification of the causative agent behind pertussis, a highly contagious bacterial infection characterized by a severe cough and whoop. The diagnosis of pertussis requires the isolation of the bacterium *Bordetella pertussis* from a clinical specimen.
**Why the Correct Answer is Right**
The best type of specimen for isolating *Bordetella pertussis* is a nasopharyngeal swab, as the bacterium is primarily found in the nasopharyngeal mucosa. Nasopharyngeal swabs are taken by inserting a swab through the nostril into the nasopharynx, allowing for the collection of a sample from the area where the bacterium is most likely to be present. This specimen type is considered the most reliable for diagnosing pertussis, especially during the early stages of the disease when symptoms are mild.
**Why Each Wrong Option is Incorrect**
**Option A:** Throat swabs are not the best choice for isolating *Bordetella pertussis*, as the bacterium is not typically found in the oropharynx. While throat swabs may be used for other respiratory infections, they are not the preferred specimen for pertussis diagnosis.
**Option B:** Blood cultures are not typically used for diagnosing pertussis, as *Bordetella pertussis* is a respiratory pathogen that does not usually cause bacteremia. Blood cultures may be used to diagnose other infections, but they are not the best choice for pertussis.
**Option C:** Stool specimens are not typically used for diagnosing pertussis, as *Bordetella pertussis* is not commonly found in the gastrointestinal tract. While stool specimens may be used for diagnosing other gastrointestinal infections, they are not the preferred specimen for pertussis.
**Clinical Pearl / High-Yield Fact**
Pertussis is a highly contagious infection that can be prevented with vaccination. The DTaP vaccine is a combination vaccine that protects against diphtheria, tetanus, and pertussis, and is recommended for all children starting at 2 months of age.
**Correct Answer:** C. Nasopharyngeal swab.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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