Training

What is the recommended treatment for hepatosplenic schistosomiasis patients with bleeding esophageal varices?

• endoscopic variceal obliteration

• Somatostatin

• Praziquantel

• non-selective beta blockers

Late Stage Hepatosplenic Schisto:

• Hepatomegaly

• Decompensated CLD

• Portal Hypertension

• Cor Pulmonale

Calcified ova with infiltration of lymphocytes and plasma cells in the submucosa

• Acute Schistosoma Colitis

• Granuloma

• Chronic Schistosoma Colitis

• Pseudomembranous Colitis

In patients with hepatosplenic schisto and small varices that have NOT BLED but have a criteria for increased risk of hemorrhage, what is currently recommended?

• EGD

• EGD + nonselective B-blockers

• Nonselective B-blockers

• Surgical shunt

Differential Diagnosis of Chronic Pulmonary Schisto EXCEPT:

• COPD

• Lung cancer

• Interstitial Lung Dse

• Bronchial asthma

Pulmonary Schisto Clinical Frame: Symptoms likely due to hypersensitivity reaction to worm antigens.

• Acute

• Subacute

• Chronic

• Episodic

The following tests can be done to confirm the diagnosis of pulmonary schisto EXCEPT?

• serologic test

• sputum exam

• Imaging studies

• microscopy

Answer explanation

Case Definition- are set of criteria that is standardized for deciding whether to classify a person as having a particular disease.

Statement: Oxamniquine and praziquantel are effective anti-schistosomicidal agents against immature schistosoma in man

• True

• False

Answer explanation

Oxam and prazi are effective against MATURE schisto in man

The infective stage of schistosoma in man

• Cercariae

• Schistosomulae

• Miracidia

• Trophozoite

Technique used for surveillance or field surveys of STH/SCH; for quantitative and qualitative

• DFS

• Kato Thick

• Kato Katz

• FECT