Para Retake Flashcards
Which of the Protozoan cyst below often contain chromatoidal bars, which tend to be splinter shaped and irregular?
A. Entamoeba hartmanni
B. Entamoeba histolytica
C. Entamoeba dispar D. Entamoeba coli
Entamoeba coli
Which refers to the protozoan parasite of pigs and monkeys
A. Entamoeba polecki
B. Entamoeba moshkoskii
C. Entamoeba hartmanni D. Entamoeba coli
Entamoeba polecki
What protozoan parasite whose cytosome is referred to as a “shepherd’s crook” with a lemon or pear shape
A. Retortamonas intestinalis
B. Pentatrichomonas hominis
C. Chilomastix mesnili
D. Enteromonas hominis
Chilomastix mesnili
Which protozoan resembles Chilomastix cyst with “bird beak” fibril arrangement
A. Giardia lamblia
B. Trichomonas tenax
C. Dientamoeba fragilis
D. Retortamonas intestinalis
Retortamonas intestinalis
Which of the following dimensions in the template used in Kato Katz technique will containing 20 mg of stool
A.9mmx1mm
B.6.5mmx1mm C.6mmx1mm
D. 6.5 mm x 0.5mm
6.5 mm x 0.5mm
Which nucleus is responsible for reproduction in the trophozoite stage of the Balantidium coli?
A. Micronucleus
B. Macronucleus
C. Both A and B D. Neither
Macronucleus
Which of the following is not a characteristic of Dientamoeba fragilis?
A. Generally has 2 nuclei
B. Circular appearance at rest.
C. Recognized only in liquid/fresh stools D. Generally has 4 nuclei
Generally has 4 nuclei
What is the treatment of choice for balantidiasis A. Diloxanide furoate
B. Tetracycline
C. Mebendazole
D. Primaquine
Tetracycline
A 40 y.o male with HIV, presented with diarrhea of 2 weeks. Acid-fast staining of his stool revealed red-pink doughnut-shaped circular organisms resembling oocysts. What parasite is the possible cause of his diarrhea
A. Balantidium coli
B. Entamoeba histolytica
C. Cryptosporidium hominis D. Toxoplasma gondii
Cryptosporidium hominis
“Ground itch” or “dew itch” is a dermatitis caused by which of the following nematodes:
A. Toxocara canis
B. Enterobius vermicularis
C. Necator americanus
D. Strongyloides stercoralis
Necator americanus
Long-standing and heavy infection can cause protein-losing enteropathy. Which parasite is responsible for this:
A. Strongyloides stercoralis
B. Ascaris lumbricoides C. Enterobius vermicularis D. Trichinella spiralis
Strongyloides stercoralis
Which of the following does not undergo heart- lung migration?
A. Giant intestinal roundworm
B. Hookworm
C. Whipworm
D. Dog roundworm
Whipworm
Which of these drugs is used to treat protozoan infection?
A. Mebendazole
B. Metronidazole
C. Albendazole D. Ketoconazole
Metronidazole
Nocturnal pruritus is commonly seen in which of the following parasitic infections?
A. Trichuriasis
B. Enterobiasis
C. Giardiasis D. Ascariasis
Enterobiasis
All of the following are components of the kato thick technique except?
A. Glycerin
B. Clear cellophane
C. Green cellophane
D. Orcein
Orcein
What is the parasite that caused the “Mystery” disease in Compostella valley?
A. Bagsit
B. Pudoc worm
C. Peanut worm D. Seat worm
Pudoc worm
What is best way to distinguish Entamoeba histolytica from Entamoeba dispar infection?
A. Microscopy
B. Concentration methods
C. PCR method
D. Kato-Katz method
PCR method
Steatorrhea in Giardiasis is caused by what type of diarrhea?
A. Osmotic diarrhea
B. Secretory diarrhea
C. Exudative diarrhea
D. Rapid transit diarrhea
Osmotic diarrhea
In the Fischer indole synthesis, from what amino acid is converted in to indoleacetic acid which would finally be a derivative of skatole?
A. Tyrosine
B. Alanine
C. Tryptophan
D. Thiamine
Tryptophan
A young patient complains of epigastric pain and dyspnea. Upon observation the patient had yellowish sclerae. The patient’s stool was observed as clay colored. What parasitic infection could have caused the patient’s condition?
A. Biliary ascariasis
B. IDA due to hookworm infection
C.Rectal prolapse stage 4 caused by whipworm infection
D. Gay Bowel Syndrome caused by Giardia lamblia
Biliary ascariasis
Blythe complains of vaginal pruritus after meeting with Ford and upon internal examination, red spots were seen on her cervix which could be likened to a strawberry. What could be the cause of her complaint?
A. Trichomonas vaginalis
B. Trichomonas hominis
C. Trichomonas tenax
D. Pentatrchimonas hominis
Trichomonas vaginalis
Pyrantel pamoate is always taken in tandem with albendazole during a helminthic infection. What is the reason for this?
A. It makes albendazole more potent in killing parasites and is thus agonistic
B. It weakens the eects of albendazole so that it will not cause serious side eects and is thus antagonistic
C. It prevents the nematodes from migrating during
treatment and is thus synergistic
D. None of the choices
It prevents the nematodes from migrating during treatment and is thus synergistic
This drug’s mode of action is to inhibit protein synthesis by interacting with the DNA and causes helical DNA structure breakage once it diuses in to the organism. Identify what drug is stated.
A. Mebendazole
B. Metronidazole
C. Pyrantel pamoate D. Ivermectin
Metronidazole
Which of the following diseases does not require an occult blood test?
A. Hemorrhoids
B. Peptic ulcer disease
C. Gastritis
D. Esophagitis
Hemorrhoids
A patient came in with painful bowel movements which upon macroscopic examination contained blood and mucus. Patient noted that the physician noted rectal prolapse on physical examination. What is the expected ova description if the cause was parasitic?
A. Barrel-shaped, thick-shelled and possess a pair
of polar “plugs” at each end
B. Peanut- or barrel-shaped, with striated shells, flattened ends, and prominent bipolar mucoid plugs C. Thin-shelled, ellipsoid eggs which rapidly embryonate
D. It is not a manifestation of a parasitic infection
Barrel-shaped, thick-shelled and possess a pair
of polar “plugs” at each end
Respiratory distress due to nematode infection is most likely due to what action of the parasites?
A. Erratic migration
B. Heart lung migration
C. Retroinfection
D. Cutaneous larva migrans
Heart lung migration
What part of the gastrointestinal tract is commonly aected by amebae?
A. Cecum
B. Rectum
C. Ileum
D. Stomach
Cecum
. A stool specimen has been examined one and a half hour after it has been passed. What will not be an expected finding?
A. Protozoan cyst
B. Protozoan trophozoite
C. Nematode larvae D. Nematode ova
Protozoan trophozoite
A patient came in with complains of pruritus at night and restlessness at night. The physician requested a scotch tape method. The patient has just taken a bath ten minutes before coming in to the lab. What will be the most likely expected findings of the test?
A. Presence of Enterobius ova
B. Absence of Enterobius ova
C. Presence of Strongyloides ova D. Absence of Strongyloides ova
Absence of Enterobius ova
A patient has been requested for an occult blood test. The patient has taken a cocktail of ibuprofen and aspirin a few hours ago for the lightheadedness. What will be the expected results?
A. True positive B. True negative C. False positive D. False negative
False positive
Pruritic dermatitis is caused by what action of the parasites?
A. Flagellar irritation
B. Skin penetration
C. Mucosal scarring D. Rectal prolapse
Skin penetratio
Without the help of PCR for helping dierentiate Entamoeba histolytica from Entamoeba hartmanni. What else could aid in the dierentiation of the two species in the laboratory?
A. Examine the size of the protozoan present B. Examine the organelles in the parasite
D. Send out the specimen for further evaluation
C. Check if the patient is manifesting symptoms of
a protozoan infection
Check if the patient is manifesting symptoms of
a protozoan infection
Host that harbors a parasite that can infect someone but has no clinical symptoms
Carrier
All are advantages of formalin as fixative EXCEPT
I.Easy to prepare
II.Long shelf life
III.Preserve specimen longer
IV.Used to recover trophozoite
a. 1&3 b. 2&4 c. 2 only d. 4 only
2 only
All are recovered in concentration except I.Cyst
II.Larvae
III.Helminth eggs
IV.Trophozoite
a. 1&2 b. 2,3,4 c. 2&4 d. 4 only
2&4
Parasite that is detected using Cellophane tape method
a. Pinworm
b. Societal worm c. Both
d. Neither
Both
Not a fixative
a. Buffered glycerol b. CH2O
c. Modified PVA
d. SAF
Buffered glycerol
The specimen is processed microscopically in DFS. 20 ova/field is seen. How do you write the report?
a. few
b. moderate
c. Many
d. No intestinal parasite seen
(NIP)
Many
Mistaken as yeast cells in direct fecal smear
a. Pollen grain
b. Fat globules
c. RBC d. Starch
RBC
Cindy received diarrheic stool, what procedure should she perform
a. NSS and kato katz
b. Kato thick and kato katz
c. Iodine and NSS
d. NSS and kato thick
Iodine and NSS
Process of trophozoite to cyst
a. Excystation b. Encystation
Encystation
2 forms of amoeba
Trophozoite and cyst
Disintegration of eosinophils
Charcot Leyden crystals
E. histolytica
ALA
Trichuris trichiura
Rectal Prolapse
Capillaria philippensis
Borborygmi
Acantamoeba
GAE
Ground itch or dew itch
Necator americanus
Which nucleus is responsible for reproduction in the trophozoite stage of the Balantidium coli?
Macronucleus
Color of rbc in unstained stool
Green
Dissolve albuminous materials
40% HCL
Best recovery for coccidian
Sheather’s egg floatation
Contain information except
Travel history
Cause of antidiarrheal drug on protozoan detection
Leaves crystals that may interfere with the test
There are a lot of formed stool but a watery stool is passed what will u do?
Process because trophozoites will degrade
A refrigerated stool is passed in pathology department what will u do
Reject
Somatic Muscle arrangement
Ascaris
Found in Cecum and colon and can bury itself in intestinal walls
Trichuris trichura
Polymyarian parasite
Ascaris lumbricoides
Which among the parasites is transmitted through sexual intercourse?
T. vaginalis and G. lamblia
Sauna/hot spring setting, patient died after a few (approx 5) days
Naegleria fowleri
What are the characteristics of e.coli
Ingest RBC, Unidirectional
I. Giardia duodenalis is the causative agent of beaver fever
II. It is from beavers
both true
Tumbling motility, no cyst stage. What drug?
Oral metronidazole
Causes headache, lethargy. Primary amebic meningoencephalitis
loss of olfactory senses
I. Definitive host
II. Intermediate host
*baliskad sila definition
Both are false
What form of an Ascaris lumbricoides is present in the lungs?
Parasite not present in sputum
Which of the following preservatives to be employed in trichrome stain?
PVA
What is the association between man and Entamoeba coli?
Commensalism
I. Eggs of ascaris, trichuris, enterobius are protected in an acidic environment by thick cell
II. Cystic cell of entamoeba and giardia is resistant to acidic pH
First is false, second is true
What is the most common mode of transmission of giardia lamblia
A. Drinking contaminated water
B. Eating raw or improperly cooked freshwater fish
C. Congenital
D. Sexual
Drinking contaminated water