Parasites

Question 1

Biliary tract disease (pigmented gallstones)

Cholangiocarcinoma

Answer 1

Clonorchis sinensis (undercooked fish)

Tx: praziquantel (contractions d/t calcium)

Question 2

Ingestion of taenia solium eggs can cause what?

Answer 2

Cysticercosis (can infect brain, eyes, spine, heart, muscle)

Tx: praziquantel (albendazole for neurocysticercosis)

Question 3

Ingestion of taenia solium larvae encysted in undercooked pork?

Answer 3

Intestinal infection

Tx: praziquantel

Question 4

Hematuria

Bladder cancer

Answer 4

Schistosoma haematobium

Question 5

Liver cysts…anaphylaxis if antigens released

Answer 5

Echinococcus granulosus (ingestion of eggs from dog feces)

Tx: albendazole

Question 6

Microcytic anemia

Answer 6

Hookworms (Ancylostoma, Necator)

Tx: bendazoles or pyrantel pamoate (ACh induced spastic contractions)

Question 7

Perianal pruritus

Answer 7

Enterobius vermicularis (scotch tape test)

Tx: bendazoles or pyrantel pamoate

Question 8

Portal hypertension

Answer 8

Schistosoma mansoni

Schistosoma japonicum

Question 9

Vitamin B12 deficiency

Answer 9

Diphyllobothrium datum (undercooked fish)

Question 10

Chronic bronchitis

heoptysis

Answer 10

Paragonimus westermani (undercooked crab meat)

Tx: praziquantel

Question 11

Elephantiasis (possibly meaning a hydrocele)

Answer 11

Wuchereria bancrofti

Question 12

What is the treatment for lice?

Answer 12

Permethrin

Pyrethrin