Parasitology

Question 1

Tx for leishmaniasis

Answer 1

Sodium stibogluconate

Question 2

Tx for Plasmodium falciparum malaria

Answer 2

chloroquine or mefloquine if resistant

Question 3

Tx for Trypanosoma cruzi

Answer 3

Nifurtimox

Question 4

Sx of Chagas disease

Answer 4

dilated Cardiomyopathy, megaColon, megaesophagus

Question 5

Sx of Leishmaniasis (each type)

Answer 5

Visceral: ulcerated lesion at site of bite, marked hepatosplenomegaly, spiking fevers, pancytopenia
Mucocutaneous: destruction of hard and soft palate

Question 6

Pt complains of foul-smelling vaginal discharge. How do you differentiate between Gardnerella and Trichomonas clinically?

Answer 6

Trichomonas has severe inflammation (“Strawberry vagina”) with itching and burning. Discharge is greenish. Gardnerella disharge is grey and has less inflam.

Question 7

How do you Tx a Trich infection?

Answer 7

Metronidazole for pt. AND PARTNER.

Question 8

Pt treated w/ doxycycline for Lyme disease but continues to have fevers and hemolytic anemia. What do you prescribe?

Answer 8

Quinine and clindamycin for Babesiosis.

Question 9

Maltese cross in blood cells

Answer 9

Babesia

Question 10

Vector for leishmaniasis?

Answer 10

sandfly

Question 11

Vector for Chagas disease? Etiological agent?

Answer 11

Kissing bug. Trypanosoma cruzi.

Question 12

Vector for Trypanosoma brucei? Disease?

Answer 12

Tsetse fly. African sleeping sickness.