Parasitology

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1. What is the recommended treatment and diagnosis for Enterobius vermicularis infection?

Explanation

Enterobius vermicularis, also known as pinworm, is a common parasitic infection in humans, particularly children. The typical presentation includes anal itching, especially at night. The diagnosis is often made through the 'Scotch tape test' where a piece of transparent tape is applied to the perianal region and then examined under a microscope for eggs. Treatment options include albendazole or pyrantel pamoate.

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About This Quiz
Parasitology - Quiz

Explore the intricate world of parasites and their impact on hosts in this focused quiz. Assess your understanding of parasitic relationships, lifecycle, and control measures. Ideal for students... see moreand professionals in biology and healthcare, enhancing both academic knowledge and practical application. see less

2. What characteristic determines if a parasite can survive outside the host?

Explanation

Parasites that can form cysts are more likely to survive outside the host by withstanding harsh environments.

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3. You see MOTILE trophozoites(Has flagella) on wet mount. Type of discharge likely seen? Treatment?

Explanation

The correct answer describes the discharge associated with Trichomonas vaginalis infection, which presents as foul-smelling and green. The other options do not align with the specific characteristics of this type of infection

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4. Which protozoa is diagnosed by visualization of amastigotes inside macrophages?

Explanation

Leishmania Donovani is the correct answer as it commonly presents with hyperpigmentation of skin and self-healing ulcers. The visceral form presents with hepatosplenomegaly, spiking fever, and pancytopenia. Treatment includes Amphotericin B or sodium stibogluconate.

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5. A patient presents with muscle pain and periorbital edema after eating undercooked pork. What is the agent responsible for this, and how can the diagnosis be confirmed?

Explanation

Trichinella spiralis is a roundworm parasite that causes symptoms like muscle pain and periorbital edema after ingesting undercooked pork. The diagnosis is confirmed by finding larvae in a muscle biopsy, not in stool samples. Allergic reactions to pork proteins do not typically present with these symptoms, and bacterial infections would not produce migrating larvae causing muscle pain.

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6. What is the receptor for P. vivax on RBCs and what is its significance?

Explanation

The Duffy protein plays a significant role as the receptor for P. vivax, allowing the parasite to invade red blood cells. Mutations in the Duffy protein can render individuals resistant to P. vivax infection.

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7. What are three symptoms of African sleeping sickness?

Explanation

African sleeping sickness is characterized by recurring fevers, a painful bite from the tsetse fly transmitting trypomastigotes, and specific treatments for different forms of the disease.

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8. What is the mode of transmission for Giardia lamblia, which is indicated by the presence of Multinucleated trophozoites in the stool of a hiker who drank water from a mountain river?
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9. In a patient presenting with trophozoites with ingested RBCs in the cytoplasm or cysts with up to 4 nuclei in stool/serology, is the patient likely to have bloody or non-bloody diarrhea? What is the mode of transmission and treatment?
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10. What pathogen is associated with mild watery diarrhea in immunocompetent individuals and severe, persistent watery diarrhea in immunocompromised individuals?

Explanation

Cryptosporidium spp. causes severe diarrhea in immunocompromised individuals, while Giardia lamblia, Entamoeba histolytica, and Cyclospora cayetanensis typically do not present with severe symptoms in immunocompromised patients.

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11. What is commonly seen on a scotch tape test in a child complaining of anal pruritus caused by Enterobius vermicularis infection?

Explanation

Enterobius vermicularis, also known as pinworm, is the most common helminth infection in the United States. It is transmitted through the fecal-oral route and is treated with medications like Bendazole and pyrantel pamoate. Treating the entire family is crucial in controlling the spread of the infection.

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12. You see these eggs in feces, everyone knows that transmission is likely Fecal-oral, so they can ask about complications..treatment?
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13. In a patient who loves to walk barefoot (like on the beach), what two possible high-yield vignettes should be considered?
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14. What are the possible complications and treatment for a female blackfly bite?

Explanation

The correct answer provides information specific to the transmission of Onchocerca volvulus by blackfly bites, along with the appropriate treatment using IVERMECTIN. The incorrect answers present misinformation about other diseases or claim that blackflies do not transmit any diseases, which is inaccurate.

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15. What is the transmission and treatment for tense edema in different parts of bodies lasting 2-3 days with a moving structure along the Conjuctiva?

Explanation

The correct answer is Loa Loa, transmitted through the bite of specific flies, and treated with Diethylcarbamazine which can complicate with brain inflammation.

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16. Patient presents with Severe lymphedema...Mechanism>?Treatment?Transmission:Fecal oral vs Female Fly vs Female Mosquito.

Explanation

The correct transmission mode for Wuchereria Bancrofti is through a Female Mosquito, not through fecal oral or female fly transmission mechanisms.

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17. What are the possible outcomes of ingesting larvae encysted in undercooked meat (especially pork) versus ingesting eggs leading to larval cysts in the human body?

Explanation

The correct answer explains that ingesting eggs contaminated with human feces can lead to severe infection with Cysticercosis, highlighting the importance of differentiating this from Larvae encysted in undercooked meat. Therefore, options A, B, and C are incorrect as they do not accurately describe the outcomes of ingesting Larvae or Eggs.

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18. If a patient presents with Macrocytic Megaloblastic anemia and loss of proprioception due to D.latum(Cestode) infection, what was likely exposure and mechanism of manifestations?

Explanation

D.latum tapeworm infection occurs primarily through ingestion of larvae from freshwater fish, making the consumption of raw freshwater fish the likely exposure. This tapeworm specifically causes B12 deficiency by feeding on it, resulting in neurologic deficiencies and megaloblastic anemia.

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19. What is the intermediate host for Echinococcus granulosus and who are the definitive hosts? What is the treatment for this parasite and what precaution should be taken before removing it to prevent type I hypersensitivity?

Explanation

Echinococcus granulosus has SHEEP as the intermediate host and dogs as the definitive hosts. The treatment is ALBENDAZOLE. Before removing the hydatid cyst, injecting hyperosmolar solution is necessary to prevent anaphylaxis due to type I hypersensitivity.

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20. Which of the following manifestations is most likely seen in Schistosoma Haematobium infection?
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21. What is the treatment for a baby who loves to play at the beach with naked foot and presents with Iron deficiency anemia?

Explanation

The correct treatment for a child with Iron deficiency anemia due to hookworm infection is Albendazole/Mebendazole, as hookworms like Ancylostoma duodenale/Necator Americanus often lead to this condition in individuals who play outside barefoot.

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22. Patient was bitten by Anopheles mosquito? 3 different presentations?

Explanation

The correct answer provides a detailed explanation of the different presentations caused by the Anopheles mosquito bite and the specific symptoms associated with different causative agents of malaria. The incorrect answers do not align with the typical symptoms of malaria transmitted by Anopheles mosquitoes.

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23. What form of P.ovale you see on the image?

Explanation

The image shows the SCHIZONT form that contains Meorozoites of P.ovale. The correct characteristic for P.Vivax/Ovale is Schuffner Stippling in RBC cytoplasm.

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24. What is the recommended treatment for malaria transmitted by anopheles mosquito?

Explanation

The correct treatment for malaria transmitted by anopheles mosquito is Chloroquine as the first line, along with other medications listed in the correct answer. Antibiotics, pain relievers, and antifungal medications are not recommended treatments for malaria.

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25. A patient with a history of travel to South/Central America presents with Romana sign (unilateral periorbital swelling). What type of heart failure might they develop? Which form of the parasite is likely to be circulating in the blood, and which form will be multiplying in the tissue? What is the treatment?
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26. Tachyzoites are the characteristic rapidly dividing form of which organism?

Explanation

Toxoplasma gondii is known for its rapid division and high yield presentations, especially in patients with HIV. It can be transmitted through meat consumption or exposure to cat feces. Treatment typically involves a combination of Pyrimethamine and Sulfadiazine.

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27. What is the possible consequence of TRYPHOZOITES entering the SPINAL Fluid AFTER SWIMMING IN A POOL?

Explanation

The correct answer discusses the potential invasion of the brain by Naegleria fowleri through the cribiform plate, leading to rapidly fatal meningoencephalitis. The incorrect answers do not align with the specific consequences described in the question.

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What is the recommended treatment and diagnosis for Enterobius...
What characteristic determines if a parasite can survive outside the...
You see MOTILE trophozoites(Has flagella) on wet mount. Type of...
Which protozoa is diagnosed by visualization of amastigotes inside...
A patient presents with muscle pain and periorbital edema after eating...
What is the receptor for P. vivax on RBCs and what is its...
What are three symptoms of African sleeping sickness?
What is the mode of transmission for Giardia lamblia, which is...
In a patient presenting with trophozoites with ingested RBCs in the...
What pathogen is associated with mild watery diarrhea in...
What is commonly seen on a scotch tape test in a child complaining of...
You see these eggs in feces, everyone knows that transmission is...
In a patient who loves to walk barefoot (like on the beach), what two...
What are the possible complications and treatment for a female...
What is the transmission and treatment for tense edema in different...
Patient presents with Severe...
What are the possible outcomes of ingesting larvae encysted in...
If a patient presents with Macrocytic Megaloblastic anemia and loss of...
What is the intermediate host for Echinococcus granulosus and who are...
Which of the following manifestations is most likely seen in...
What is the treatment for a baby who loves to play at the beach with...
Patient was bitten by Anopheles mosquito? 3 different presentations?
What form of P.ovale you see on the image?
What is the recommended treatment for malaria transmitted by anopheles...
A patient with a history of travel to South/Central America presents...
Tachyzoites are the characteristic rapidly dividing form of which...
What is the possible consequence of TRYPHOZOITES entering the SPINAL...
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