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    Subjects/PSM/Malaria Epidemiology
    Malaria Epidemiology
    hard
    users PSM

    Concerning the vectors and transmission dynamics of malaria in India, all of the following are CORRECT EXCEPT:

    A. The extrinsic incubation period of Plasmodium parasites in the mosquito is temperature-independent and remains constant at 10–14 days regardless of ambient temperature
    B. Anopheles fluviatilis is anthropophilic, breeds in fast-flowing hill streams, and is the primary vector in foothill regions of the Himalayas and Western Ghats
    C. Anopheles stephensi breeds in clean, stagnant water in urban and semi-urban areas and is an efficient vector of urban malaria
    D. Anopheles dirus is a forest-dwelling vector found in the Northeast India and is responsible for transmission in forested and hilly terrain

    Explanation

    ## Malaria Vector Biology and Transmission Dynamics ### Extrinsic Incubation Period (EIP) **Key Point:** The extrinsic incubation period (EIP) is **TEMPERATURE-DEPENDENT**, not constant. This is a critical concept in malaria epidemiology. ### Temperature Dependency of EIP $$\text{EIP} \propto \frac{1}{\text{Temperature (°C)}}$$ | Temperature (°C) | EIP for *P. vivax* | EIP for *P. falciparum* | |------------------|-------------------|------------------------| | 20 | ~40 days | ~56 days | | 25 | ~14 days | ~18 days | | 30 | ~10 days | ~12 days | | 35 | ~8 days | ~10 days | **High-Yield:** Lower ambient temperature prolongs EIP; higher temperature shortens it. This is why malaria transmission is faster in hot, humid climates and slower (or absent) in cool regions. ### Correct Vector Characteristics | Vector | Habitat | Behavior | Geographic Range | |--------|---------|----------|------------------| | *An. stephensi* | Clean, stagnant water (urban, semi-urban) | Anthropophilic, endophilic | Urban areas, cities | | *An. fluviatilis* | Fast-flowing hill streams | Anthropophilic, exophilic | Foothills (Himalayas, Western Ghats) | | *An. dirus* | Forest streams, shaded habitats | Zoophilic (partially), exophilic | Northeast India, forested terrain | | *An. culicifacies* | Stagnant water (plains, plateaus) | Anthropophilic | Plains, Deccan plateau | ### Why the Incorrect Statement is Wrong **Clinical Pearl:** The statement claiming EIP is "temperature-independent and constant at 10–14 days" is fundamentally incorrect. The 10–14 day range applies only at **optimal temperature (~25–30°C)**. At lower temperatures (15–20°C), EIP can extend to 40+ days; at higher temperatures (30–35°C), it shortens to 8–10 days. This temperature sensitivity is why malaria transmission is seasonal in temperate regions and perennial in tropical zones. ### Mnemonic **"HEAT = FAST"** — Higher temperature → shorter EIP → faster transmission cycle → higher risk of epidemics in summer/monsoon.

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