Agsa Parasitology Flashcards
The following are true about Entamoeba histolytica, except:
a. Pseudopod-forming
b. Flagellated
c. Most invasive of the Entamoeba parasites
d. No host other than humans is implicated in the life cycle
e. Resistant to gastric acidity and desiccation
b. Flagellated
Entamoeba histolytica cyst:
a. Has the ability to colonize and/or invade the large bowel
b. Multiplies by binary fission
c. Highly refractile
c. Highly refractile
Incubation period of amebic colitis is
a. 2 to 4 days
b. 4 to 6 days
c. 6 to 8 days
d. 8 to 10 days
d. 8 to 10 days
The most serious complication of amebic colitis is rupture in the:
a. Pericardium
b. Intraperitoneal
c. Meningeal
d. Pleura
a. Pericardium
The following are causes of bacillary dysentery except:
a. Entamoeba histolytica
b. Salmonella
c. Yersinia
d. Shigella
e. Campylobacter
a. Entamoeba histolytica
Differential diagnosis of ALA include
a. Pyogenic liver abscess
b. GERD
c. Uterine rupture
d. Appendicitis
e. Ovarian cyst
a. Pyogenic liver abscess
The following are true about amebic dysentery:
a. Acute onset
b. No Charcot-Leyden crystals
c. No prodromal features
d. Tenesmus is common
e. Odorless stool
c. No prodromal features
Drug of choice for asymptomatic cyst passers of Entamoeba histolytica:
a. Metronidazole
b. Tetracycline
c. Diloxanide furoate
d. Secnidazole
e. Tinidazole
c. Diloxanide furoate
This is morphologically similar to Entamoeba histolytica, but their DNA and ribosomal RNA are different.
a. Entamoeba dispar
b. Endolimax nana
c. Entamoeba moshkovskii
d. Entamoeba gingivalis
a. Entamoeba dispar
Found in the intestines of pigs and monkeys
a. Entamoeba gingivalis
b. Entamoeba polecki
c. Entamoeba coli
d. lodamoeba bütschlii
e. Endolimax nana
b. Entamoeba polecki
Causative agent of Acanthamoeba Keratitis
a. Acanthamoeba castellani
b. Acanthamoeba culbertsoni
c. Acanthamoeba hutchetti
d. Acanthamoeba polyphaga
e. All of the above
e. All of the above
A 25-year old female commercial sex worker complains of painful urination with yellowish vaginal discharge. Saline wet preparation of vaginal discharge revealed highly motile trophozoites. The following etiologic agent/s is/are considered:
a. Trichomonas hominis
b. Dientamoeba fragilis
c. Trichomonas vaginalis
d. None of the above
c. Trichomonas vaginalis
Infective stage of Acanthamoeba species:
a. Ameba
b. Cyst
c. Trophozoites
d. Flagellate
c. Trophozoites
A.S., 22 years old, female, consulted at the outpatient department because of diarrhea with alternate constipation, associated with excessive flatus, with “rotten egg” odor and abdominal pain for 2 weeks. What is the most probable diagnosis?
a. Amebiasis
b. Giardiasis
c. Balantidiasis
d. Shigellosis
b. Giardiasis
The following are true with primary amebic meningoencephalitis (PAM), except:
a. Can affect previously healthy adults
b. With a history of swimming
c. Diagnosis is based on demonstration of characteristic trophozoites in the brain and cerebrospinal fluid
d. Predominantly an opportunistic infection
e. Direct route of entry is through invasion of organism through the olfactory bulb
d. Predominantly an opportunistic infection
Stage of Entamoeba histolytica is usually found in diarrheal stool:
a. Trophozoite
b. Precyst
c. Cyst
d. Metacystic trophozoite
a. Trophozoite
This drug causes decreased pseudopod formation and form blebs on the plasma membrane of Naegleria fowleri
a. Azithromycin
b. Pentamidine
c. Amphotericin B
c. Amphotericin B
Procedure of choice for Acanthamoeba Keratitis
a. Epithelial tissue removal
b. Special Bandages
c. Tissue Graft
d. Deep lamellar keratectomy
d. Deep lamellar keratectomy
Granulomatous amoebic encephalis incubation period for initial inoculation
a. 14 days
b. 9 days
c. 7 days
d. 10 days
d. 10 days
Decreases the number of food vacuoles and increases the formation of autophagic vacuoles in the treatment of PAM
a. Amphotericin B
b. Clotrimazole
c. Azithromycin
d. Voriconazole
e. Miconazole
a. Amphotericin B
A 25 yr old male came to the hospital because of abdominal pain and diarrhea with blood and mucus in the stools, fever and right upper quadrant (RUQ) pain. Fecalysis reported cyst and trophozoite of E. histolytica. What non-invasive laboratory test will you request that will guide you in your definitive diagnosis?
a. X-ray
b. Ultrasound
c. Percutaneous biopsy
d. ELISA
e. Indirect Hemagllutination test
b. Ultrasound
A 4 yr old male child was brought to the ER because of high grade fever accompanied by profuse sweating; he is delirious, and his skin is flushed and hot. These symptoms occur every 72 hours. What is the most probable malarial species causing this infection?
a. Plasmodium falciparum
b. Plasmodium knowlesi
c. Plasmodium vivax
d. Plasmodium malariae
e. Plasmodium ovale
d. Plasmodium malariae
Oral apparatus of Balantidium coli trophozoite:
a. contractile vacuoles
b. Cytostome
c. Cytopyge
d. Micronucleus
e. macronucleus
b. Cytostome
Act as osmoregulatory organelles of Balantidium coli trophozoite:
a. Contractile vacuoles
b. Cytostome
c. Cytopyge
d. Macronucleus
e. micronucleus
a. Contractile vacuoles
Ulcer with a rounded base and wide neck is characteristic of?
a. Balantidium coli
b. Giardia duodenalis
c. Trichomonas vaginalis
d. Trichomonas hominis
e. Chilomastix mesnili
a. Balantidium coli
The trophozoite of this protozoan is asymmetrically pear-shaped:
a. Balantidium coli
b. Giardia duodenalis
c. Trichomonas vaginalis
d. Trichomonas hominis
e. Chilomastix mesnili
e. Chilomastix mesnili
The only ciliate known to cause human disease
a. Balantidium coli
b. Giardia duodenalis
c. Trichomonas vaginalis
d. Trichomonas hominis
e. Chilomastix mesnili
a. Balantidium coli
This protozoan causes alterations in the villi such as villous flattening and crypt hypertrophy
a. Trichomonas vaginalis
b. Giardia duodenalis
c. Chilomastix mesnili
d. Trichomonas tenax
e. Trichomonas hominis
b. Giardia duodenalis
This is a pyriform flagellate which has been observed only in the trophozoite stage
a. Trichomonas tenax
b. Trichomonas vaginalis
c. Giardia duodenalis
d. Chilomastix mesnili
a. Trichomonas tenax
Gold standard in the diagnosis for trichomoniasis
a. Trichomonas hominis
b. Urinalysis
c. Saline preparation of vaginal fluid
d. fecalysis
Accepted gold standard is CULTURE which takes 2 to 5 days.
The complete life cycle of Toxoplasma gondii occurs in:
a. Cats
b. Dogs
c. Culture
d. Goats
e. Humans
a. Cats
Prophylaxis for toxoplasmosis that may be given for the immunocompromised:
a. Pyrimetharine
b. Sulfadiazine
c. Azitromycin
d. Trimethoprim-sulfamethoxazole
e. Leucovorin
d. Trimethoprim-sulfamethoxazole
Definitive hosts for Sarcocystis spp
a. Pigs
b. Dogs
c. Cattle
d. Sheep
e. Human
e. Human
Definitive diagnosis for sarcocystosis:
a. Fecalysis
b. Biopsy of an infected muscle
c. X-ray
d. Fecal flotation wet mount
e. Polymerase chain regaction
b. Biopsy of an infected muscle
It is banana shaped cell, witha a pointed anterior end; simplest form of Sarcocysis:
a. Oocysts
b. Sporocysts
c. Sporozotes
d. Zoites
e. merozoites
d. Zoites
Treatment for Toxoplasmosis
a. Metroridezole
b. Pyrimethamine and sulfadiazine
c. Trimethoprim-sulfamethoxazole
d. Mebendazole
e. Albendazole
b. Pyrimethamine and sulfadiazine
The villi of the intestines become blunted and there is infiltration of inflammatory cells into the lamina propria and elongated crypts.
a. Cryptosporidiosis
b. Cyclosporidiosis
c. Cystoisosporiasis
d. Toxoplasmosis
e. Sarcocystosis
a. Cryptosporidiosis
If an immunocompetent individual develops cryptosporidiosis, which of the following is considered the drug of choice?
a. Tinidazole
b. Metronidazole
c. Paromomycin
d. Azithromycin
e. Nitazoxanide
e. Nitazoxanide
For a patient having clinical manifestations following ingestion of Cystoisospora ocysts, which of the following is the pharmacological agent of choice?
a. Trimethoprim-sulfamethoxazole
b. Nitazoxanide
c. Azithromycin
d. Metronidazole
e. Tinidazole
a. Trimethoprim-sulfamethoxazole
Which of the following is the correct pattern of Toxoplasma gondi transmission?
a. Cyst → lungs → brain
b. Contaminated syringes - blood
c. Dog bite → blood → liver → brain
d. Cat bite → blood → kidney
e. Contaminated food → intestine → blood → liver
e. Contaminated food → intestine → blood → liver