HARR EE1 Flashcards
The incorrect match between organism and the
appropriate diagnostic procedure is:
A. Onchocerca volvulus—examination of skin snips
B. Cryptosporidium—modified acid-fast stain
C. Echinococcus granulosus—routine ova and parasite
examination
D. Schistosoma haematobium—examination of urine
sediment
C. Echinococcus granulosus—routine ova and parasite
examination
In a patient with diarrhea, occasionally Entamoeba
histolytica/E. dispar (four nucleated cysts, no
chromatoidal bars) are identified as being present;
however, these cells, which are misdiagnosed as
protozoa, are really:
A. Macrophages
B. Polymorphonuclear leukocytes
C. Epithelial cells
D. Eosinophils
B. Polymorphonuclear leukocytes
Charcot–Leyden crystals in stool may be associated
with an immune response and are thought to be
formed from the breakdown products of:
A. Neutrophils
B. Eosinophils
C. Monocytes
D. Lymphocytes
B. Eosinophils
Parasitic organisms that are most often transmitted sexually include: A. Entamoeba gingivalis B. Dientamoeba fragilis C. Trichomonas vaginalis D. Diphyllobothrium latum
C. Trichomonas vaginalis
The incorrect match between the organism and
one method of acquiring the infection is:
A. Trypanosoma brucei rhodesiense—bite of sand
fleas
B. Giardia lamblia—ingestion of water
contaminated with cysts
C. Hookworm—skin penetration of larvae from soil
D. Toxoplasma gondii—ingestion of raw or rare
meats
A. Trypanosoma brucei rhodesiense—bite of sand
fleas
Upon examination of stool material for
Cystoisospora belli, one would expect to see:
A. Cysts containing sporozoites
B. Precysts containing chromatoidal bars
C. Oocysts that are modified acid-fast variable
D. Sporozoites that are hematoxylin positive
C. Oocysts that are modified acid-fast variable
Which specimen is the least likely to provide recovery of Trichomonas vaginalis? A. Urine B. Urethral discharge C. Vaginal discharge D. Feces
D. Feces
Which of the following is the best technique to identify Dientamoeba fragilis in stool? A. Formalin concentrate B. Trichrome-stained smear C. Modified acid-fast–stained smear D. Giemsa’s stain
B. Trichrome-stained smear
One of the following protozoan organisms has
been implicated in waterborne and foodborne
outbreaks within the United States. The suspect
organism is:
A. Pentatrichomonas hominis
B. Dientamoeba fragilis
C. Giardia lamblia
D. Balantidium coli
C. Giardia lamblia
A Gram stain from a gum lesion showed what appeared to be amoebae. A trichrome smear showed amoebae with a single nucleus and partially digested PMNs. The correct identification is: A. Trichomonas tenax B. Entamoeba histolytica/E. dispar C. Entamoeba gingivalis D. Entamoeba polecki
C. Entamoeba gingivalis
An Entamoeba histolytica trophozoite has the
following characteristics:
A. Central karyosome in the nucleus, ingested
RBCs, and clear pseudopodia
B. Ingested RBCs, clear pseudopodia, and uneven
chromatin on the nuclear membrane
C. Ingested RBCs, clear pseudopodia, and large
glycogen vacuoles in cytoplasm
D. Large, blotlike karyosome, ingested white blood
cells (WBCs), and granular pseudopods
A. Central karyosome in the nucleus, ingested
RBCs, and clear pseudopodia
A 12-year-old girl is brought to the emergency
department with meningitis and a history of
swimming in a warm-water spring. Motile
amoebae that measure 10 μ in size are seen in
the CSF and are most likely:
A. Iodamoeba bütschlii trophozoites
B. Endolimax nana trophozoites
C. Dientamoeba fragilis trophozoites
D. Naegleria fowleri trophozoites
D. Naegleria fowleri trophozoites
Characteristics of the rhabditiform (noninfective)
larvae of Strongyloides stercoralis include a:
A. Short buccal capsule and large genital
primordium
B. Long buccal capsule and pointed tail
C. Short buccal capsule and small genital
primordium
D. Small genital primordium and notch in tail
A. Short buccal capsule and large genital
Visceral larva migrans is associated with which of the following organisms? A. Toxocara—serology B. Onchocerca—skin snips C. Dracunculus—skin biopsy D. Angiostrongylus—CSF examination
A. Toxocara—serology
The following organisms are linked with
specific, relevant information. The incorrect
combination is:
A. Strongyloides stercoralis—internal autoinfection
B. Echinococcus granulosus—hydatid examination
C. Toxoplasma—serology
D. Balantidium coli—common within the
United States
D. Balantidium coli—common within the
United States
Examination of 24-hour unpreserved urine specimen is sometimes helpful in the recovery of: A. Trichomonas vaginalis trophozoites B. Schistosoma haematobium eggs C. Enterobius vermicularis eggs D. Strongyloides stercoralis larvae
B. Schistosoma haematobium eggs
The examination of sputum may be necessary to diagnose infection with: A. Paragonimus westermani B. Trichinella spiralis C. Wuchereria bancrofti D. Fasciola hepatica
A. Paragonimus westermani
Two helminth eggs that may resemble one
another are:
A. Diphyllobothrium latum and Paragonimus
westermani
B. Opisthorchis sinensis and Fasciolopsis buski
C. Taenia saginata and Hymenolepis nana
D. Ascaris lumbricoides and Trichostrongylus
A. Diphyllobothrium latum and Paragonimus
westermani
Eating poorly cooked pork can lead to an
infection with:
A. Taenia solium and Trichinella spiralis
B. Taenia saginata and Hymenolepis nana
C. Trichuris trichiura and Hymenolepis diminuta
D. Diphyllobothrium latum and Ascaris lumbricoides
A. Taenia solium and Trichinella spiralis
An operculated cestode egg that can be recovered from human feces is: A. Clonorchis sinensis B. Diphyllobothrium latum C. Paragonimus westermani D. Dipylidium caninum
B. Diphyllobothrium latum
The adult tapeworm of Echinococcus granulosus is found in the intestine of: A. Dogs B. Sheep C. Humans D. Cattle
A. Dogs
In infections with Taenia solium, humans can
serve as the:
A. Definitive host
B. Intermediate host
C. Either the definitive or the intermediate host
D. None of these options
C. Either the definitive or the intermediate host
Humans acquire infections with Diphyllobothrium latum adult worms by: A. Ingestion of freshwater crabs B. Skin penetration of cercariae C. Ingestion of water chestnuts D. Ingestion of raw freshwater fish
D. Ingestion of raw freshwater fish
Humans can serve as both the intermediate and definitive host in infections caused by: A. Enterobius vermicularis B. Hymenolepis nana C. Schistosoma japonicum D. Ascaris lumbricoides
B. Hymenolepis nana
Babesia has been implicated in disease from both
splenectomized and nonsplenectomized patients.
Morphologically, the parasites resemble:
A. Plasmodium falciparum rings
B. Leishmania donovani amastigotes
C. Trypanosoma cruzi trypomastigotes
D. Microsporidial spores
A. Plasmodium falciparum rings
Organisms (and infections) that under normal
conditions cannot be transmitted in the
laboratory are:
A. Cryptosporidium—cryptosporidiosis
B. Taenia solium—cysticercosis
C. Ascaris lumbricoides—ascariasis
D. Enterobius vermicularis—pinworm infections
C. Ascaris lumbricoides—ascariasis
Toxoplasma gondii is characterized by:
A. Possible congenital infection and ingestion of
oocysts
B. Cosmopolitan distribution and possible
difficulties with interpretation of serological
results
C. Neither A nor B
D. Both A and B
D. Both A and B
Oocysts of Cryptosporidium spp. can be detected
in stool specimens using:
A. Modified Ziehl–Neelsen acid-fast stain
B. Gram stain
C. Methenamine silver stain
D. Trichrome stain
A. Modified Ziehl–Neelsen acid-fast stain
Which microfilariae are usually not found circulating in the peripheral blood? A. Brugia malayi B. Wuchereria bancrofti C. Onchocerca volvulus D. Loa loa
C. Onchocerca volvulus
Massive hemolysis, blackwater fever, and
central nervous system involvement are most
common with:
A. Plasmodium vivax
B. Plasmodium falciparum
C. Plasmodium ovale
D. Plasmodium malariae
B. Plasmodium falciparum
Organisms that should be considered in a nursery
school outbreak of diarrhea include:
A. Endolimax nana, Giardia lamblia, and
Entamoeba coli
B. Giardia lamblia, Dientamoeba fragilis, and
Cryptosporidium spp.
C. Cryptosporidium spp., Trichomonas vaginalis,
and Entamoeba coli
D. Pentatrichomonas hominis, Dientamoeba fragilis,
and Endolimax nana
B. Giardia lamblia, Dientamoeba fragilis, and
Cryptosporidium spp.
The incorrect match between disease and symptoms is: A. Paragonimiasis—hemoptysis B. Cryptosporidiosis—watery diarrhea C. Toxoplasmosis in compromised host—central nervous system symptoms D. Enterobiasis—dysentery
D. Enterobiasis—dysentery