Parasitology Flashcards
Depending on the site of infection, what do you call a free-living organism that passes through the digestive tract with infecting the host?
Spurious parasite
Presence of an ectoparasite connotes ______.
Infestation
Presence of an endoparasite connotes ______.
Infection
It is considered as the most invasive parasite among the Entamoebas.
Entamoeba hystolytica
The type of host that allows the life cycle to continue and become additional source of human infection. A. Definitive B. Intermediate C. Reservoir D. Paratenic
C. Reservoir
The type of host that acts a means of transport so that the infective stage reaches its final host. A. Definitive B. Intermediate C. Reservoir D. Paratenic
D. Paratenic
This intestinal amoeba is a harmless inhabitant and is differentiated from E. hystolytica by the presence of a cyst with whisk broom ends and a trophozoite with a dirty cytoplasm.
Entamoeba coli
The period between the time of parasitic injection and the demonstration of infection.
Pre-patent period (Biological)
Enumerate the 3 virulence factors of E. hystolytica.
Gal/GalNac lectin (adherence)
Amebapores (penetration, stimulates IL-8)
Cysteine protease (cytopathic effect)
Intestinal amoeba that highly stains with iodine due to its large glycogen vacuole contained in its cyst.
Iodamoeba bustchlii
Intestinal amoeba that is transmitted through direct kissing and sharing utensils. Pathognomonic finding is a trophozoite with ingested WBC.
Entamoeba gingivalis
Free-living amoeba that is the causative agent of granulomatous amoebic encephalitis.
Acanthamoeba
Give the 2 most common complications of Amoebic colitis.
Perforation, spontaneous bacterial peritonitis
DOC for the cyst carrier state of E. hystolytica
Diloxanide furoate
Intestinal flagellate with a characteristic kite-like or falling-leaf motility.
Giardia lamblia
Opportunistic intestinal protozoa with a monoxenous life cycle.
Cryptosporidium parvum
What is the infective stage of all intestinal amoeba?
Cyst
Urogenital protozoa that exists only as a trophozoite with 4 flagella and an anteriorly placed nucleus.
Trichomonas vaginalis
The immature cyst of this intestinal amoeba contains a cigar/sausage-shaped chromatoidal body.
Entamoeba hystolytica
DOC of Cryptosporidium in immunocompromised patients.
Spiramycin
The largest protozoan parasite.
Balantidium coli
Differentiate the ulcer produced in amoebic dysentery vs bacillary dysentery.
Amoebic: flask-shaped
Bacillary: round, wide-based
DOC for most coccidian infections.
TMP-SMX
Coccidian with cyanobacterium-like body.
Cyclospora cayetanensis
Vector of Plasmodium falciparum transmission.
Anopheles minimus var flavirostris
Diagnostic stage of malarial infection.
Trophozoite
Free-living amoeba that causes primary amoebic meningoencephalitis (PAM).
Naegleria fowleri
Most frequent symptom of Trichomonas infection in men? women?
M: asymptomatic
F: vaginal discharge
Previously known as the Leningrad’s curse and is otherwise known as traveler’s diarrhea and gay bowel syndrome.
Giardiasis/Lambliasis
What do you call the dormant, exo-erythrocytic form of plasmodium that is responsible for its relapse?
Hypnozoite
Recrudescence due to undetectable asexual parasitemia is seen in which 2 plasmodium species?
P. falciparum, P. malariae
Malarial dots: Punctate granulations in P. ovale and P. vivax.
Schuffner dots
Malarial dots: Fine granulations in P. malariae.
Ziemann dots
Malarial dots: Coarse granulations in P. falciparum
Maurer dots
What do you call the type of Toxoplasma trophozoite that is rapidly, formed during acute infections?
Tachyzoite
Areas of high-malarial endemicity
PIKA: Palawan, Ifugao, Kalinga-Apayao, Agusan del Sur
DOC for prophylaxis in areas with MDR P. falciparum
Doxycycline
The complete cycle of Toxoplasma gondii occurs in ____.
Domestic cats
What do you call the encysted form of Toxoplasma trophozoite that is slowly-formed during chronic/asymptomatic infections?
Bradyzoite
The infective stage of all Trypanosoma species.
Metacyclic trypomastigote
In shellfish poisoning syndromes caused by dinoflagellates, what toxin is responsible for short-term memory loss and seizures?
Domoic acid
DOC for American trypanosomiasis
Nifurtimox
This sign is seen in chronic sleeping sickness caused by T. brucei and is characterized by severe pain on pressure of palms of hands.
Kerandel’s sign
In shellfish poisoning syndromes caused by dinoflagellates, what toxin causes facial paresthesias, slurred speech and ataxia?
Brevetoxin
Tissue protozoan that causes cutaneous or oriental sore
Leishmania tropica
Pathognomonic symptom in Leishmania donovani infections.
Fever with twice daily elevations
Espundia lesions + Tapir lesions + Chiclero ulcer are all seen in this tissue protozoan infection.
Mucocutaneous Leishmaniasis (T. braziliensis)
DOC for all infections caused by Cestodes
Praziquantel
Diagnostic stage of Echinococcus granulosus
Hydatid cyst
Megaloblastic anemia is seen this cestode infection.
Diphyllobothriasis
Schistosoma species: prominent lateral spine
S. mansoni
What is the method of choice of diagnosing Schistosoma sp. infection in the Philippines?
Circumoval precipitin test
Most common and most important site of E. granulosus infection.
Liver
What is the only human tapeworm that does not require an intermediate host to complete its life cycle?
Hymenolepis nana
DOC for Sleeping sickness with CNS invasion
Melarsoprol
In shellfish poisoning syndromes caused by dinoflagellates, what toxin causes total paralysis and respiratory failure?
Saxitoxin
Schistosoma species: Small lateral spine that looks like a knob
S. japonicum
Schistosoma species: has a terminal spine, making it look spindle-shaped
S. hematobium
The only trematode that is not a hermaphrodite.
Schistosoma sp.
Diagnostic stage of Paragonimus westermani
unembryonated egg
Infective stage of Schistosoma sp.
cercaria (note: they are the only trematodes without a metacercarial stage)
What is the most serious complication of P. westermani infection?
Cerebral cysticercosis
What is the most common heterophyid fluke in the Far East?
Metagonimus yokogawi (Yokogawa’s fluke)
DOC for all infections caused by trematodes
Praziquantel
Large, leaf-shaped liver fluke that causes Halzoun
Fasciola hepatica
Otherwise known as the Giant intestinal fluke
Fasciolopsis buski
Pyriform, grayish intestinal fluke covered with scale-like spines that causes granulomatous lesions in the heart and brain and gastric inflammation mimicking peptic ulcer disease
Heterophyes heterophyes
All nematodes has the larvae as their infective stages except these 2 roundworms.
Ascaris and Trichuris (embryonated egg)
Which 3 nematodes are capable of autoinfection?
CES: Capillaria, Enterobius, Strongyloides
Adjunct to anti-parasitic treatment of patients with hookworm infections
Iron therapy (they usually present with microcytic anemia)
Differentiate the buccal spears of Necator and Ancylostoma.
Necator have dorsal and ventral cutting plates while Ancylostoma have 4 sharp tooth-like structures
Nematode: Kato-katz technique reveals a football/Japanese lantern/barrel-shaped egg with bipolar plugs
Trichuris trichiura
Nematode: Kato-katz technique reveals a peanut-shaped eggs with flattened bipolar plugs
Capillaria philippinensis
Smallest of intestinal nematodes
Strongyloides stercoralis
This nematode is capable of producing hyperinfection in immunocompromised hosts.
Strongyloides stercoralis
Diagnostic stage of Paragonimus westermani
unembryonated egg
Infective stage of Schistosoma sp.
cercaria (note: they are the only trematodes without a metacercarial stage)
What is the most serious complication of P. westermani infection?
Cerebral cysticercosis
What is the most common heterophyid fluke in the Far East?
Metagonimus yokogawi (Yokogawa’s fluke)
DOC for all infections caused by trematodes
Praziquantel
Large, leaf-shaped liver fluke that causes Halzoun
Fasciola hepatica
Otherwise known as the Giant intestinal fluke
Fasciolopsis buski
Pyriform, grayish intestinal fluke covered with scale-like spines that causes granulomatous lesions in the heart and brain and gastric inflammation mimicking peptic ulcer disease
Heterophyes heterophyes
All nematodes has the larvae as their infective stages except these 2 roundworms.
Ascaris and Trichuris (embryonated egg)
Which 3 nematodes are capable of autoinfection?
CES: Capillaria, Enterobius, Strongyloides
Adjunct to anti-parasitic treatment of patients with hookworm infections
Iron therapy (they usually present with microcytic anemia)
Differentiate the buccal spears of Necator and Ancylostoma.
Necator have dorsal and ventral cutting plates while Ancylostoma have 4 sharp tooth-like structures
Nematode: Kato-katz technique reveals a football/Japanese lantern/barrel-shaped egg with bipolar plugs
Trichuris trichiura
Nematode: Kato-katz technique reveals a peanut-shaped eggs with flattened bipolar plugs
Capillaria philippinensis
Smallest of intestinal nematodes
Strongyloides stercoralis
This nematode is capable of producing hyperinfection in immunocompromised hosts.
Strongyloides stercoralis
Diagnostic stage of Paragonimus westermani
unembryonated egg
Infective stage of Schistosoma sp.
cercaria (note: they are the only trematodes without a metacercarial stage)
What is the most serious complication of P. westermani infection?
Cerebral cysticercosis
What is the most common heterophyid fluke in the Far East?
Metagonimus yokogawi (Yokogawa’s fluke)
DOC for all infections caused by trematodes
Praziquantel
Large, leaf-shaped liver fluke that causes Halzoun
Fasciola hepatica
Otherwise known as the Giant intestinal fluke
Fasciolopsis buski
Pyriform, grayish intestinal fluke covered with scale-like spines that causes granulomatous lesions in the heart and brain and gastric inflammation mimicking peptic ulcer disease
Heterophyes heterophyes
All nematodes has the larvae as their infective stages except these 2 roundworms.
Ascaris and Trichuris (embryonated egg)
Which 3 nematodes are capable of autoinfection?
CES: Capillaria, Enterobius, Strongyloides
Adjunct to anti-parasitic treatment of patients with hookworm infections
Iron therapy (they usually present with microcytic anemia)
Differentiate the buccal spears of Necator and Ancylostoma.
Necator have dorsal and ventral cutting plates while Ancylostoma have 4 sharp tooth-like structures
Nematode: Kato-katz technique reveals a football/Japanese lantern/barrel-shaped egg with bipolar plugs
Trichuris trichiura
Nematode: Kato-katz technique reveals a peanut-shaped eggs with flattened bipolar plugs
Capillaria philippinensis
Smallest of intestinal nematodes
Strongyloides stercoralis
This nematode is capable of producing hyperinfection in immunocompromised hosts.
Strongyloides stercoralis
What is the most debilitating nematode infection?
Filiriasis
What is the only nematode that involves a migratory bird in its life cycle?
Capillaria philippinensis
DOC for pinworm infections
Pyrantel pamoate
DOC for threadworm infections
Ivermectin
What is the infective stage of W. bancrofti and B. malayi?
L3 larvae
What is the most common cause of parasitic meningitis?
Angiostrongylus cantonensis
What is the most debilitating nematode infection?
Filiriasis
What is the only nematode that involves a migratory bird in its life cycle?
Capillaria philippinensis
DOC for pinworm infections
Pyrantel pamoate
DOC for threadworm infections
Ivermectin
What is the infective stage of W. bancrofti and B. malayi?
L3 larvae
What is the most common cause of parasitic meningitis?
Angiostrongylus cantonensis
What is the most debilitating nematode infection?
Filiriasis
What is the only nematode that involves a migratory bird in its life cycle?
Capillaria philippinensis
DOC for pinworm infections
Pyrantel pamoate
DOC for threadworm infections
Ivermectin
What is the infective stage of W. bancrofti and B. malayi?
L3 larvae
What is the most common cause of parasitic meningitis?
Angiostrongylus cantonensis
The causative arthropod of scabies.
Sarcoptes scabei
Diagnostic stage of W. bancrofti and B. malayi.
Microfilariae
DOC for Filiriasis
Diethylcarbamazine
Visceral larva migrans in preschool children and ocular larva migrans in older children and young adults is caused by this dog roundworm.
Toxocara canis