**Core Concept**
Polio, or poliomyelitis, is a highly infectious disease caused by the poliovirus. The diagnosis of polio is crucial for public health and vaccine development. A definite case of polio is defined based on clinical and laboratory criteria.
**Why the Correct Answer is Right**
A definite case of polio is considered if there is laboratory confirmation of the presence of the poliovirus in a stool specimen, cerebrospinal fluid (CSF), or other body fluids. This can be achieved through various methods, including viral isolation, PCR (polymerase chain reaction), or serotyping. The presence of the virus in these samples indicates an active infection, making it a definite case of polio.
**Why Each Wrong Option is Incorrect**
**Option A:** This option does not specify a laboratory confirmation of the poliovirus, making it an incorrect choice for a definite case of polio.
**Option B:** A clinical diagnosis of polio based on symptoms alone may be suggestive, but it is not sufficient for a definite diagnosis.
**Option C:** A serological test detecting antibodies against the poliovirus may indicate past infection or vaccination, but it does not confirm an active infection.
**Clinical Pearl / High-Yield Fact**
It's essential to note that polio can be asymptomatic in up to 70% of cases, making laboratory confirmation crucial for diagnosis.
**Correct Answer: D. Laboratory confirmation of the presence of the poliovirus in a stool specimen, cerebrospinal fluid (CSF), or other body fluids.**
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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