Lung Flukes and intestinal flukes

Question 1

Triclabendazole: Fasciola spp.
Praziquantel: ____

Answer 1

Small liver flukes and Paragonimus spp.

Question 2

Core strategic preventions

Answer 2

• Preventive chemotherapy
• WASH
• Veterinary Public Health
• Case management

Question 3

Also called Oriental Lung Fluke

Answer 3

P. westermani

Question 4

P. siamensis is found in ____

Answer 4

Cat (note: siamensis - Siamese cats)

Question 5

P. kellicotti is found in _____

Answer 5

North America
(Note: kellicotti - Kelly Clarkson - America’s got talent)

Question 6

Lung fluke diseases are often mistaken for _____

Answer 6

Pulmonary tuberculosis

Question 7

Diagnosis for paragonimiasis

Answer 7

Demonstration of lung fluke eggs on sputum examination

Question 8

1st intermediate hosts of P. westermani

Answer 8

• Antemelania asperata
• Antemelania dactylus

Question 9

Second intermediate hosts for P. westermani

Answer 9

• Sundathelpusa philippina
• Varuna litterata

Question 10

P. westermani has a hydrolytic enzyme called ____

Answer 10

Cysteine proteases

Question 11

Sputum concentration technique is done for ____ infections

Answer 11

Light infections

Question 12

What chemical is used for sputum concentration technique?

Answer 12

3% NaOH

Question 13

_____ technique destroys Paragonimus ova

Answer 13

Ziehl-Neelsen

Question 14

relatively old blood mixed with sputum

Answer 14

Rust-colored sputum

Question 15

Sputum should be collected at what time for the ideal sputum identification?

Answer 15

Early morning

Question 16

Intradermal sensitivity test has high sensitivity, but cross-sections may occur in patients with other _____

Answer 16

FBT infections

Question 17

In Asia Pacific, high prevalence of paragonimiasis in certain regions share what common characteristic?

Answer 17

Custom of eating raw crabs, crawfish, crustaceans

Question 18

Hotspots for paragonimiasis in Philippines

Answer 18

Sorsogon, Samar, Leyte

Question 19

Most recently described endemic areas for paragonimiasis

Answer 19

Davao Oriental and Zamboanga del Norte

Question 20

What province is no. 1 for TB?

Answer 20

Sorsogon

Question 21

Treatment for paragonimiasis

Answer 21

• Triclabendazole
• Praziquantel

Question 22

Opportunities to control paragonimiasis

Answer 22

• Inclusion of NTDs in SDGs
• NTD control contributing to UHC
• Economic growth and more resources for DOH and health sector
• Intersectoral and interagency collaboration

Question 23

Diagnostic stage of F. buski

Answer 23

Immature/unembryonated eggs

Question 24

Aquatic plants where metacercariae of F. buski may encyst

Answer 24

○ Trapa bicornis
○ Eliocharis tuberosa
○ Ipomea obscura (kangkong)
○ Nymphaea lotus

Question 25

F. buski infection may have _____ symptoms

Answer 25

Peptic ulcer-like

Question 26

Epidemiology of F. buski

Answer 26

SEA, China, Korea, India

Question 27

Medication for F. buski

Answer 27

Praziquantel

Question 28

The intramolluscan stages of Echinostoma include ____

Answer 28

- sporocyst stage - one or two generations of rediae - cercariae

Question 29

Intermediate host of E. ilocanum

Answer 29

- Pila luzonica - Vivipara angularis

Question 30

Intermediate host of A. malayanum

Answer 30

Lymnaea cumingiana

Question 31

Intestinal parasites with a worldwide distribution

Answer 31

Echinostomes

Question 32

Diagnosis for minute intestinal flukes

Answer 32

Kato Katz > FECT > DFS

Question 33

This disease was called cardiac beri-beri

Answer 33

heterophydiasis

Question 34

Adult minute flukes may induce ______ in the mucosa of small intestine

Answer 34

Granulomatous reactions

Question 35

Infection rates of heterophyid are highest among what age group?

Answer 35

15-30 31-45