Parasitism/Sepsis-Related Diseases

Question 1

What are the 3 most common soil-transmitted helminths?

Answer 1

HAT
Hookworms
Ascariasis
Trichuriasis

Question 2

What is the most common presentation of scariasis?

Answer 2

Passing out of worm per rectum = spaghetti-like worm

Question 3

What is the worst case scenario of Ascariasis?

Answer 3

Acute intestinal obstruction = heavy bolus of worm in the intestine of the child

Question 4

What is the pathognominic feature of Ascariasis?

Answer 4

Larval migratory phase (Loeffler syndrome)

Question 5

What are the treatment for ascariasis?

Answer 5

Albendazole
Mebendazole
Ivermectin

Question 6

What are the DOC of ascariasis?

Answer 6

Albendazole & Mebendazole

Question 7

What is the weight requirement for giving of Ivermectin for Ascariasis?

Answer 7

Children <15kg

Question 8

What are the most common hookworms that infect man?

Answer 8

Necator americanus (PH)
Ancylostoma duodenale

Question 9

What is peculiar to hookworm infection?

Answer 9

Microcytic hypochroimc anemia = manifests as pallor

Question 10

What is the symptom of hookworm in the lungs?

Answer 10

Verminus pneumonia?

Question 11

What are the tx for Hookworm?

Answer 11

Albendazole
Mebendazole
Pyrantel
Pamoate

Question 12

What age grps are recommended to do derworming?

Answer 12

Young children (12-23 months)
Preschool (24-59 mons)
School age children
Non-pregnant adolescents (10-19yo)
Non-pregnant women of repro age (15-49yo)
Living in areas where baseline prevalnce of any soil=transmitted helminth infection is >20%

Question 13

What are the specific drug recommendations in 1-24 months of age for dewrming?

Answer 13

Albdendazole = 200mg (single dose every 6mons)
Mebendazole = 500mg (single dose every 6mons)

Question 14

What are the specific drug recommendations for deworming of >24 months age children?

Answer 14

Albedazole = 400mg (single dose every 6mons)
Mebendazole = 500mg (single dose every 6mons)

Question 15

What are the specific drug recom for Adolescent females for deworming?

Answer 15

Albendaozole = 400mg once a yr
Mebendazole = 500mg

Question 16

What is the common clin feature of Filariasis in infected children?

Answer 16

Filarial lymphadenopathy

Question 17

What is a selective treatment for Filariasis?

Answer 17

Diethylcarbamazine citrate (positive for microfilariae)

Question 18

What is the drug used for mass treatment of Filariasis?

Answer 18

Diethylcarbamazine citrate + Albendazole

Question 19

What is the acute infection of Schistosomiasis?

Answer 19

Swimmer’s itch
Katayama fever

Question 20

What is the dx test of choice in the PH for Schistosomiasis?

Answer 20

Circumoval precipitin test

Question 21

What are chronic or late clin manifestations of Schistosomiasis?

Answer 21

Granulomas
Fibroblat cells also a site of infection

Question 22

What is the DOC for Schistosomiasis?

Answer 22

Praziquantel

Question 23

What is the management for diarrhea?

Answer 23

Oral rehdyration salts

Question 24

What are the top 4 symptoms of childhood leptospirosis?

Answer 24

Fever
Abdominal pain
Myalgia and or joint pain
Headache

Question 25

What are the top 3 signs of childhood leptospirosis?

Answer 25

Calf tenderness
Jaundice
Hepatomegaly

Question 26

What is the 1st line and 2nd line of tx for Uncomplicated leptospirosis?

Answer 26

1st line = doxycycline
2nd line = amoxicillin or azithromycin

Question 27

What are the 1st line and alternative tx to Moderate to severe leptospirosis?

Answer 27

1st line = Penicillin
Alternative = Cefotaxime, Ceftriaxone