LUNG FLUKES

Question 1

OTHER NAMES FOR PARAGONIMIASIS

Answer 1

LUNG FLUKE DISEASE
PULMONARY DISTOMIASIS
ENDEMIC HEMPTYSIS
PARASITE HEMOPTYSIS

Question 2

OTHER NAME OF PARAGONIMUS WESTERMANI

Answer 2

ORIENTAL LUNG FLUKE

Question 3

SPECIES OF PARAGONIMUS IDENTIFIED ONLY CATS

Answer 3

P. SIAMENSIS

Question 4

OTHER SPECIES OF PARAGONIMUS

Answer 4

P. PHILIPPINENSIS

Question 5

PARAGONIMIASIS RESEMBLES WHAT CHRONIC ILLNESS?

Answer 5

PTB

Question 6

ADULT MORPHOLOGY OF P. WESTERMANI

Answer 6

REDDISH BROWN
SPOON/COFFEE BEAN-SHAPED
SPINOUS CUTICLE, SINGLE-SPACED SPINES
SUCKERS ARE OF EQUAL SIZE
VENTRAL SUCKER ALONG EQUATORIAL PLANE
**ZIGZAGGING INTESTINAL CECA
** 1 LOBED OVARY ANTERIOR TO TESTES (WITH 6 LONG UNBRANCHED LOBES)
**2 SLIGHTLY OBLIQUE, IRREGULARLY LOBED TESTES AT THE POSTERIOR THIRD

Question 7

CERCARIA OF P. WESTERMANI

Answer 7

ELLIPSOIDAL, COVERED IN SPINE
SMALL TAIL
STYLET AT DORSAL SIDE OF SUCKER

Question 8

EGG OF P. WESTERMANI

Answer 8

BIG EGG
FLATTENED BUT PROMINENT OPERCULUM
THICKENED ABOPERCULAR PORTION

UNDEVELOPED IN FECES

Question 9

HABITAT OF ADULT WORMS

Answer 9

IN FIBROTIC CAPSULES OR CYSTS IN LUNGS, THEY ARE FOUND IN PAIRS OR 3’S

Question 10

1ST INTERMEDIATE HOST OF P WESTERMANI

Answer 10

SNAIL
ANTEMELANIA ASPERATA
ANTEMELANIA DACTYLUS (BROTIA ASPERATA)

HUA
SEMISULCOSPIRA
SYNCERA
POMATIOPSIS
POMACEA

Question 11

2ND INTERMEDIATE HOST OF P. WESTERMANI

Answer 11

FRESHWATER MOUNTAIN CRAB
-SUNDATHELPHUSA PHILIPPINA (PARATHELPHUSA GRAPSOIDES)

ERIOCHER
POTAMIN
SESARMA
PARATHELPHASA
ASTACUS
CAMBARUS

Question 12

SITE OF ENCYSTMENT OF CERCARIA

Answer 12

GILLS, BODY MUSCLES, VISCERA, LEGS

Question 13

WAYS BY WHICH 2ND P WESTERMANI IH ACQUIRES THE CERCARIA

Answer 13

PENETRATION

INGESTION OF SNAILS

Question 14

PATHOLOGY OF P WESTERMANI

Answer 14

EXCYST IN DUODENUM
EMBEDS IN ABDOMINAL WALL FOR SEVERAL DAYS
RETURNS TO COELOM
GOES THROUGH DIAPHRAGM TO PENETRATE LUNGS
BECOMES ADULT IN THE LUNGS
65 - 90 DAYS COMPLETION

Question 15

ANIMAL RESERCOIR HOSTS OF P WESTERMANI

Answer 15

DOGS, CATS, FILED RATS, OTHER RODENTS

Question 16

HOW LONG CAN THESE WORMS PERSIST IN MAN

Answer 16

20 YEARS

Question 17

THE MOST SERIOUS COMPICATION OF HUMAN PARAGONIMIASIS

Answer 17

CEREBRAL INVOLVEMENT DURING ERRATIC PARAGONIMIASIS

Question 18

TRUE ABOUT PARAGONIMIASIS

Answer 18

THE MIGRATING WORM CAUSES THE PATHOLOGY, THE INFLAMMATORY REACTION CAUSES THE CHANGES

Question 19

DIAGNOSIS

Answer 19

SPUTUM FOR ADULT WORMS

STOOL FOR EGGS AND ADULT WORMS

Question 20

CXR FINDINGS IN P WESTERMANI

Answer 20

RING-SHADOWED OPACITY

CONTIGUOUS CAVITIES WITH BUNCH OF GRAPES APPEARANCE

Question 21

HELPS TO SCREEN PXS WITH PAST AND PRESENT INFECTIONS

Answer 21

PARAGONIMUS ANTIGEN

Question 22

STANDARD SEROLOGICAL TEST FOR PARAGONIMIASIS

Answer 22

COMPLEMENT FIXATION

Question 23

TREATMENT OF CHOICE

Answer 23

PRAZIQUANTEL

Question 24

ALTERNATIVE TOC

Answer 24

BITHIONOL

TRICLABENDAZOLE

Question 25

PARATENIC HOST OF P WESTERMANI

Answer 25

SWINE

Question 26

RESERVOIR OR DEFINTIVE HOSTS

Answer 26

CANINES AND FELINES

Question 27

MAN IS WHAT?

Answer 27

ACCIDENTAL FINAL HOST

Question 28

IN WHICH PROVINCES IN THE PHIL CAN YOU FIND P WESTERMANI INFECTIONS

Answer 28

LEYTE
SORSOGON
MINDORO
CAMARINES
SAMAR
DAVAO
COTABATO
BASILAN
ZAMBOANGA DEL NORTE
DAVAO ORIENTAL