Antihelmetics

Question 1

What is the most common type of helminth?

Answer 1

Nematodes (roundworms complete in GI)

Question 2

What are pinworms?

Answer 2

Small, thin, white roundworms (nematodes)

Most common worm infection in US

Question 3

Typical symptoms of pinworms?

Answer 3

Anal itching & sleep difficulty

Question 4

Pinworm transmission?

Answer 4

Fecal-oral route, can live on objects

Question 5

Treatment for pinworms?

Answer 5

Albendazole, pyrantel

Question 6

Tapeworm transmission?

Answer 6

Eating raw / uncooked beef or pork

Question 7

Symptoms of tapeworm?

Answer 7

Abdominal pain, loss of appetite, weight loss, upset stomach

Question 8

Treatment for tapeworm?

Answer 8

Albendazole

Question 9

How do you diagnose cysticercosis / neurocysticercosis

Answer 9

Cysts seen on MRI or CT scan

Question 10

Treatment for cysticercosis?

Answer 10

Praziquantel

Question 11

Guinea worm infection occurs how?

Answer 11

Ingestion of contaminated drinking water by larvae

Question 12

Why is guinea worm infection special?

Answer 12

Eradicable disease by good water filtration

Question 13

How do you treat guinea worm infection?

Answer 13

No drug treatment, pull it out

Question 14

What is strongyloidiasis?

Answer 14

Tropical / subtropical infection

Question 15

What is the concern with strongyloidiasis

Answer 15

hyper infection from autoinfection, usually in immune suppressed

Question 16

How does albendazole work?

Answer 16

Paralyzes the partial

Question 17

Caveat with albendazole?

Answer 17

Take with a fatty meal

Question 18

What is Ivermetacin used for?

Answer 18

DOC for River Blindness

Question 19

Side effect of Ivermectin

Answer 19

Mazzotti type reaction (fever, itching, rash, flu-like)

Question 20

What is the OTC choice for pinworms?

Answer 20

Pyrantel pamoate, also used for roundworms and hookworms

Question 21

What is MOA for pyrantel permeate?

Answer 21

Depolarizing, neuromuscular blocker. It is NOT cidal