Lung and Pancreatic fluke

Question 1

What is the best known of the lung flukes affecting humans and the one with the widest geographical range?

Answer 1

Paragonimus westermani

Question 2

What Paragonimus is enzootic throughout the US and may dalawang recorded cases lang?

enzootic = infects only animals

Answer 2

Paragonimus kellicotti

Question 3

Typically, Paragonimus westermani adult worms are encapsulated in cystic structures adjacent to the ____.

Answer 3

bronchi

Question 4

The eggs of Paragonimus westermani may be discharged into the bronchi or bronchioles; they may be ____ or, if swallowed, appear in ____.

Answer 4

expectorated; feces

Question 5

First intermediate hosts of Paragonimus westermani

Answer 5

• Antemelania asperata
• Antemelania dactylus

formerly known as Brotia asperata

Question 6

Second intermediate host of Paragonimus westermani

Answer 6

Sundathelphusa philippina (formerly known as Parathelphusa grapsoides)

freshwater crabs cla phusa; pwede rin crayfish

Question 7

Paragonimus eggs may be found on what samples?

Answer 7

Sputum or Stool

or feces, tsk same lng din e

Question 8

The ____ may show a patchy infiltrate w/ nodular cystic shadows or calcifications

Answer 8

chest film

chest x-ray

Question 9

When the cysts containing the adult Paragonimus worm ruptures, a ____ develops, and there may be increased production of sputum.

type of reflex

Answer 9

cough

Question 10

Pulmonary fibrosis due to Paragonimus closely resemble what disease?

hint: caused by bacteria, collected via sputum too

Answer 10

Tuberculosis

Question 11

The most serious consequence of Paragonimus migration is what?

Answer 11

cerebral paragonimiasis

Question 12

Part of the symptoms of cerebral paragonimiasis are fever, headache, nausea, vomiting, and visual disturbances. What do you call, then, the seizures most likely observed in this disease?

Answer 12

Jacksonian seizures

A form of epilepsy involving brief alteration in movement, sensation or nerve function caused by abnormal electrical activity in a localized area of the brain

Question 13

Cutaneous paragonimiasis seems characteristic of certain species such as ____ in China.

Answer 13

Paragonimus skrjabini

Question 14

Drug of choice for paragonimiasis

Answer 14

Praziquantel

Bithionol

Question 15

Common name of Paragonimus westermani

Answer 15

Oriental lung fluke

Question 16

Common name of Eurytrema pancreaticum

Answer 16

Pancreatic fluke

Question 17

What is a common parasite in herbivores that may lead to Chronic Granulomatous Pancreatitis and diabetes in humans?

Answer 17

Eurytrema pancreaticum

Question 18

First intermediate host of Eurytrema pancreaticum

Answer 18

Macrochlamys indica

Question 19

Second intermediate host of Eurytrema pancreaticum

Answer 19

• grasshopper
• Technomyrmex deterquens (ant)

Question 20

Drug of choice for Eurytrema pancreaticum

Answer 20

Praziquantel

Question 21

The eggs of Eurytrema pancreaticum are similar to that of ____.

lancet fluke

Answer 21

Dicrocoelium dendriticum

or Fasciola lanceolata/Fasciola dendriticum