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PH 172 > Paragonimiasis > Flashcards

Paragonimiasis Flashcards

1
Q 
pulmonary paragonimiasis is 
A. food-borne
B. tick-borne
C. water-borne
D. all of the above
A

A

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2
Q

gold standard for diagnosing paragonimiasis

A

• Demonstration of lung fluke eggs on sputum

examination

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3
Q

False about morphology of Paragonimus
A.Reddish-brown, resembling a coffee bean
B. Tegument is covered with double-spaced spines
C. Vitellaria is extensively branched
D. Ovaries are anterior to the testes

A

B

single-spaced dapat

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4
Q

In Paragonimus cercariae, what can be found on the dorsal side of oral sucker?

A

stylet

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5
Q

Adult Paragonimus flukes are found in twos or threes within ___ in lungs

A

fibrotic capsules/cysts

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6
Q 
The eggs are excreted \_\_\_\_ in the
sputum, or are swallowed and passed with stool. 
A. embryonated
B. unembryonated
C. either A or B
A

B

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7
Q

genus of Paragonimus first intermediate host

A

Antemelania (Snail)

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8
Q 
Which does not happen inside Antemelania?
A. development into miracidia
B. development into sporocyst
C. development into redia
D. development into cercaria
A

A

Item A happens before it enters Antemelania

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9
Q

second intermediate host of Paragonimus - identify genus

A

Sundathelphusa sp (crab)

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10
Q 
Which happens inside Sundathelphusa?
A. development into miracidia
B. development into sporocyst
C. development into cercaria
D. development into metacercaria
A

D

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11
Q

infective stage of Paragonimus

A

metacercariae @ crab

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12
Q

diagnostic stage of Paragonimus

A

unembryonated egg @ sputum/feces

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13
Q

Which substances are in-charge of this pathogenesis:
metacercariae penetration through the intestinal wall –> abdominal wall –>peritoneal cavity –> diaphragm –> lungs –> encapsulated –> adults

A

cysteine proteases

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14
Q

The worms can also reach other organs and tissues,
such as the brain and striated muscles, respectively.
When they eggs here, the life cycle is complete. T or F?

A

F

When this takes place completion of the life
cycles is not achieved, because the eggs laid cannot
exit these sites.

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15
Q 
Which is not a clinical manifestation of paragonimiasis?
A. Generalized or localized fibrosis
B. Cystic constriction of bronchi
C. Persistent pneumonia
D. Tubercule-like abscesses
A

B

dilation dapat

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16
Q

Cyst produced by the host in response to presence of

eggs and ___ discharged into lung tissue.

A

Worm excretory-secretory products

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17
Q 
Which may not cause symptom variation?
A. Species of worm involved
B. Stage of infection
C. Shape of worms invading
D. Individual idiosyncrasy
A

C

number, not shape

18
Q 
Which is not a major clinical manifestation of paragonimiasis?
A.Persistent cough
B. Hemoptysis – blood-stained sputum
C. Chest pain
D. Nausea
A

D

19
Q

> > Mimics other diseases, hence, it is poorly
diagnosed
Includes diarrhea, abdominal pain, fever cough,
urticaria, hepatosplenomegaly, pulmonary
abnormalities, and eosinophilia

Which phase of paragonimiasis is this?

A

acute phase

20
Q

most serious complication of paragonimiasis

A

→ cerebral involvement / cerebral

paragonimiasis,

21
Q

Paragonimus fluke may cause this kind of epilepsy, along with cerebral hemorrhage, edema, visual disturbances, or
meningitis.

A

Jacksonian epilepsy

22
Q 
characteristic eggs may be found in all except
A. Urine
B. Sputum
C. Aspirated pleural effusion fluid
D. Feces
A

A

23
Q

Which is not present in the Paragonimus egg?
A. Flattened operculum
B. Lateral knob
C. Thickened abopercular end

A

B

B is in Schistosoma

24
Q

In concentration technique for diagnosing paragonimiasis, – ___ is added to the sputum, followed by standing
and centrifugation

A

3% NaOH

25
Q

T or F
Intradermal senstivity test does not differentiate between
present and past infections.

A

T

26
Q

Which among the ff is the most sensitive technique for detecting paragonimiasis?
A. sputum microscopy
B. intradermal sensitivty test
C. ELISA

A

C

27
Q

standard serological test for paragonimiasis

A

Complement Fixation

28
Q

false about Complement Fixation
A. high sensitivity for both diagnosis and assessment of
cure after therapy
B. Able to detect a more rapid increase in
antibody levels after chemotherapeutic cure
C. EIA replaced it due to CF’s technical difficulties

A

B

decrease, not increase

29
Q 
sputum must be of \_\_\_ origin
A. pharyngeal
B. upper respiratory tract
C. laryngeal
D. lower respiratory tract
A

D

30
Q 
To ensure a good sample, collect the specimen in
the \_\_\_
A. early morning
B. noon
C. early afternoon
D. late evening
A

A

31
Q

Which is not true?
A. Lung fluke eggs remain viable after processing for Acid
Fast Bacilli.
B. X-ray findings may mimic other pulmonary diseases.
C. Paragonimiasis and TB may co-infect the patient.

A

A.

32
Q

Pick the trio with a country that is not proven to be endemic to paragonimiasis.
A. Japan, South Korea, Thailand,
B. Taiwan, Central China, Mongolia
C. Vietnam, Myanmar and the Philippines

A

B

Mongolia is not proven to be endemic yet.

33
Q

Pick the trio with a province that is not proven to be endemic to paragonimiasis.
A. Leyte, Sorsogon, Mindoro
B. Camarines, Samar, Davao,
C. Cotabato, Davao Oriental, Basilan
D. Zamboanga del Norte, Palawan, Zamboanga del Sur

A

D

Palawan, Zamboanga del Sur –> hindi pa endemic dito

34
Q

prevalence of paragonimiasis

among TB symptomatics in Sorsogon

A

16.3%

35
Q

false about paragonimiasis in Sorsogon
A. Rates not significantly different between
known cases & undiagnosed cases
B. There is a significant difference in infection rates
between males and females
C. False sila pareho
D. True ang A at B

A

B

no significant diff

36
Q

Which is not a second intermediate or reservoir host?
A. Varuna litterata
B. Sundathelphusa philippina
C. Antemelania sp.

A

C

37
Q 
paratenic host of Paragonimus
A. pigs
B. cats
C. snails
D. crabs
A

A

38
Q

• Roasting the crab over glowing embers of wood
charcoal
• In Leyte, the crab is removed from the glowing
charcoal before crabs are thoroughly cooked

identify the dish

A

sinugba

39
Q

Adding the sour juice of calamansi & coconut milk
to the edible portion of the raw crab

idenrify the dish

A

kinilaw

40
Q

two drugs used to treat paragonimiasis

A

Praziquantel

Triclabendazole

PH 172 (25 decks)

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