Parasitology Flashcards

1
Q

Parasitic infection that develops in human body & multiply themselves is known as?

A

Cyclopropagative

•Cyclodevelopment = Pathogens undergo development from one stage to another but do not multiply (only stage)
Eg. Filarial worm in Culex Mosquito , O. volvulus in onchocerciasis

•Propagative = Only increase in number
E.g. dengue & plague disease (Yersinia pestis in xenopyslla flea)

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2
Q

Tape-like segmented worm which may grow to several meter length. The mature segment have both male & female reproductive organ (monoecious)

A

Cestode

  • Suckers with hooks
  • No alimentary canal & body cavity
  • 2 hosts, multiple stages -> by larvae
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3
Q

This protozoa has broad pseudopodia which allows it to move to one direction at a time.

A

Amoeba

  • Flagellates -> flagella/undulating membrane
  • Ciliate -> cilia
  • sporozoa & microsporidia -> no locomotor organelles
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4
Q

A 50-yo man is diagnosed with cercarial dermatitis caused by larvae of an animal trematode. What is his most likely occupation related to the above infection?

A

Paddy farmer

•Cercarial dermatitis is propagated by snails and birds , basically fish

**Schistosomiasis - in paddy farm water

Poultry = Birds

  • Cercaria & metacercaria (larvae stages of trematodes)
  • Rhabditiform & filariform (larvae stages of nematodes)
  • Cysticercus & hydatid cyst (larvae stages of cestodes)
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5
Q

A group of students presented with periodic episodes of fever after a field trip to study macaque monkeys. The most probable zoonosis is

A
Simian malaria 
(Simian = monkey) 
  • Babesiosis= from rodents & ticks
  • Leishmaniasis = sandfly
  • Trypanosomiasis (Sleeping sickness) = Insect-borne -Tsetse fly ~ Chagas disease
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6
Q

Microscopic examination shows a minute, elongated organism with four pairs of stumpy legs. The organism is most likely

A

Demodex folliculorum

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7
Q

Define the following:

A) definitive host 
B) intermediate host
C) paretenic host
D) carrier 
E) incidental host
F) reservoir
G) obligate parasite 
H) facultative parasite 
I) parthenogenesis
A

A) adult worm in human body. Sexual reproduction
B) larvae form in human body. Asexual reproduction
C) not important for life cycle to be in human body. Often just for carrier purpose
D) asymptomatic host, just carry for reproduction
E) unintended host; unusual host
F) animal host as to ensure parasites supply in nature
G) needs a host to reproduce
H) optional host (boleh ada boleh takde)
I) fertilization of ovum of female without male

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8
Q

What kind of horizontal transmissions are these?

A) T. Gondii, Leishmania Donovani
B) Acanthamoeba, Naegleria spp.
C) Strongyloides, Enterobius (pinworm -> perianal puritus) 
D) Hookworm, Schistosomiasis 
E) Amebiasis, Giardiasis
A
A)Organ transplantation (Iatrogenic) 
B)Inhalation (free living amoeba) 
C)Autoinfection
D)Skin
E)Oral
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9
Q

Ova -> Cysticercus -> _________ -> Proglottid

Fill in the blank and what group is this?

A

Hydatid cyst; cestodes

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10
Q

What is the developmental stages of nematodes?

A

Ova -> Microfilaria -> Rhabdotiform -> Filariform -> Adult worm

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11
Q

Describe a few immunological parasitic evasive mechanisms.

A

A) Protected from serum Ig
- intracellular parasites, luminal parasites

B) Suppression of macrophage activity
-Leishmania develops inside macrophage, so takkan macrophage nak makan diri sendiri

C) Suppression of immune system
-Leishmania & Schistosomes

D) Complement inactivation (Taenia & Echinococcus larva) & Ab inactivation (Schistosomes)

•Leucocyte fx inhibition
-Mast cell degranulation of Schistosoma

E) Host tissue antigenic mimicry
-Absorb molecules produced by host into its surface to pretend like self

F) Shift in Ag structure

  • change a.a & glycoprotein, Ab cannot recognize new antigen
  • Trypanosome & Plasmodium (blood 👀)

G) Granuloma formation

H) Continuous movement
- protect from inflammatory process

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12
Q

Define:

a) True pathogen
b) Opportunistic pathogen
c) Normal flora

A

a) True pathogen (primary) - Microorganisms that cause disease in immunocompetent and immunocompromised people.
e. g. Mycobacterium tuberculosis

b) Opportunistic pathogen - Microorganisms that rarely cause disease in immunocompetent people but cause serious infections in immunocompromised people.
e. g. Normal flora when introduced to unusual sites

c) Normal flora - Microorganisms that are permanent residents of skin and mucous membrane of healthy people.
e. g. Bacteroides fragilis, Lactobacillus

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13
Q

State the normal flora residing in these locations:

a) skin
b) colon
c) vagina

A

a) Staphylococcus epidermidis
b) Bacteroides fragilis, Escherichia coli
c) Lactobacillus

  • Virus & parasites - not normal flora
  • Body areas free from normal flora - blood, cns, liver, spleen, peritoneal cavity
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14
Q

Describe 3 factors involve in pathogenesis of a disease:

A

a) pathogen - the number & virulence of pathogens
b) host - degree of susceptibility or resistance of host immune system
c) environment - conducive or not

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15
Q

Describe two underlying mechanisms involve in bacterial pathogenicity:

A

a) Invasiveness:
- the ability to invade tissues or overcome host defence mechanisms.
- this encompasses mechanisms for
i) colonisation (adherence and initial multiplication)
ii) production of invasins (extracellular substances which facilitate invasion)
iii) evasion of host defenses

b) Toxigenesis:
- the ability to produce toxins namely endotoxin and exotoxin

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16
Q

Explain colonisation in invasiveness.

A

The initial adherence & multiplication of bacteria. It uses pili, fimbriae, adhesins, capsules, glycocalyces for attachment.

17
Q

Give some examples of invasins.

A

Invasin is enzyme excreted by bacteria that play a role in pathogenesis.
a) Protein A (cell wall protein as antiphagocytic),coagulase (accelerates formation of fibrin clot to protect from phagocytosis) , cytotoxin (destroy neutrophils & macrophage) - Staphylococcus aureus

b) Ig A protease (degrade IgA allowing organism to adhere to mucous membrane) - Neisseria gonorrhea
c) Collagenase & hyaluronidase , Protein M - Streptococcus pyogenes

18
Q

Explain about endotoxin.

A

Endotoxin: Lipopolysaccharide complex (Lipid A, core polysaccharide, O polysaccharide) on the outer membrane of cell wall of gram -ve bacteria
Ig A protease (degrade IgA allowing organism to adhere to mucous membrane)
● Produced by lysis of gram -ve bacteria
● Stable at 100 degree celcius for 1 hour
● Low toxicity
● No toxoid, no vaccine
● No specific receptor
● Poor antigenic response (x induce immune response pon)
● Mode of action - TNF & Interleukin 1

19
Q

Explain about exotoxin.

A

Exotoxin: Polypeptides
● Produced by gram +ve (secretion biasa tak lysis pon)
● Destroyed at 60 degrees celcius
● High toxicity
● Toxoid is form, vaccine is available
● Specific receptor
● High antigenic response (induce high-titer antibodies)
● Mode of action - ADP-ribosylation (add ADP-ribose to protein), superantigens

20
Q

A direct fecal smear shows motile protozoa. What is the most likely group of protozoa? State an example for its infective stage, source of transmission, mode of transmission.

A

Amoeba - has pseudopodia

Infective stage: Cyst
Source of transmission: Contaminated water or food
Mode of transmission: Oral

21
Q

The infective stages of:

a) amoeba
b) flagellate
c) ciliate
d) hemosporozoa
e) coccidia
f) microsporidia

A

a) cyst
b) cyst
c) cyst
d) sporozoites (plasmodium)
e) oocyst (Crptosporidium parvum [intestine], Toxoplasma Gondii)
f) spore

22
Q

Briefly explain the life cycle of Plasmodium sp.

sporogonic cycle - mosquito
gametogony- humans

A

Mosquito injects sporozoites -> Sporozoites infects hepatocytes ->Produce schizont -> Schizont ruptured -> Merozoites leave hepatocytes & infect red blood cells -> Trophozoites -> Form schizonts -> Form more merozoites

Also,

Immature trophozoites -> Gametocytes-> Mosquito takes blood meal->Gametes ->Oocyst ->Sporozoites

23
Q

A person with severe hematuria is diagnosed with trematode blood infection. Which state causes the disease?

A

Trematode: Metacercaria (larva)
Cestode: Cysticercus (larva)
Nematode: Filariform (larva)

24
Q

Describe the use of insects in forensic entomology.

A

Flies are used to determine the elapsed time since death of a corpse based on:

  • faunal succession
  • rate of development of various stages
  • Maggot can tell abt:
  • Manner of death
  • Body has been moved/not
  • Use of drugs
  • Estimate time of death
25
Q

Parasitic infections are common among orang asli population. Lab DX shows intestinal nematode, blood protozoa, scabies mite.

What immune response occurs in this patient?

Briefly describe host response towards the parasitic infection

A

a) innate immunity: scabies mite
b) humoral response

Innate immunity -
● direct damage, phagocytosis
● alternative complement activation - lysis

Humoral response - regulated by B cells in lymphoid organs - activated by Th2 immune response - B cell produces plasma cell which produces ●antibodies against the extracellular parasites, ●complement activation, ●opsonisation, ●neutralisation

26
Q

Describe 4 mechanisms parasites cause pathology.

A

1) Mechanical injury:
- Pressure from hydatid cysts (SOL)
- Blockage of blood vessels (infarction from knobs of plasmodium falciparum), lymphatic vessels (edema), intestinal tract (bolus from Ascaris sp)
- Destruction of human cells (plasmodium falciparum)

2) Production of toxic secretions
- Entamoeba histolytica (secrete histolytic enzyme which dissolve tissue ->leads to ulceration)

3) Deprivation of nutrients
- Diphyllobothrium latum (vit B12) - megaloblastic anemia
- Nematodes (blood sucking) -severe IDA

4) Consumption of host tissues

27
Q

Give four taxonomic group of parasites that cause blood and intestine infection. State their habitat and infective stage.

A

●Amoeba - Entamoeba histolytica , Intestine, Cyst

●Flagellate - Giardia Lamblia , Intestine, Cyst

● Ciliate - Balantidum coli, Intestine, Cyst

● Hemosporozoa - Plasmodium falciparum, Blood, Sporozoites

● Coccidia - Cryptosporidium parvum, Intestine, Oocyst