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WorksheetsCLINICAL PARASITOLOGY
Total questions: 200
Worksheet time: 2hrs 40mins
All of the Following are true about Parasitology except:
Area of biology concerned with the phenomenon of dependence of one living organism on another
Study of parasites, their hosts & relationship between them.
the study of living organisms, divided into many specialized fields that cover their morphology, physiology, anatomy, behavior, origin, and distribution
All are true about Pre-patent period except:
Initiated by early trophozoite ring stage
Interval of infection to the time it is already detectable in blood
the time from the moment of exposure to an infectious agent until signs and symptoms of the disease appear.
Can be seen in the microscope
Symbiosis is following except:
Parasite & host are both harmed
Similar relationship among diff. species
Host & parasite dependent upon each other
Parasite benefits w/out causing harm to host
Commensalism
Parasitism
Mutualism
Parasitism is
Parasite & host benefits
Parasite benefits
Host is harmed
Parasite benefits
Host is not harmed
Both parasite & host benefits
Symbiosis
Mutualism
Commensalism
Parasitism
Agent who carries & transmits an infectious pathogen into another living organism
Parasite
Host
Vector
(2) Route of infection
Common: fecal - oral
carries blood containing the digested nutrients from the entire gastrointestinal tract
Pathway to which pathogens enter the body & cause disease.
Timelapse by the time the infection is acquired until 1st on-set sign of clinical manifestation
Incubation period
Prepatent period
Prepatent period
Period of transmission of disease until parasitic infection
Timelapse by the time the infection is acquired until 1st on-set sign of clinical manifestation
Period of parasitic infection until the demonstration of the infective stage of the parasite
Parasite needs final host
Indirect life cycle
Direct life cycle
Indirect life cycle
Parasite needs final host
Parasite needs intermediate host
Parasite attains sexual maturity
Reservoir host
Intermediate host
Definitive host
Paratenic host
Asexual multiplication takes place
Resevoir host
Final host
Intermediate host
Paratenic hosy
Parasite does not develop further to later stage
Definitive host
Paratenic host
Reservoir host
Parasite lives in a host to continue its life cycle
Intermediate host
Paratenic host
Reservoir host
Greek word for "WORMS"
Flukes
Namatodes
Platyhelminths
Helminths
Platyhelminths
Flatworms
Roundworms
Tapeworms
Nematodes
Flatworms
Roundworms
Parasites that may exist on large/small intestine
Extraintestinal parasites
Intestinal parasites
Extraintestinal parasites could be found on except:
Blood
Liver
Stomach
Lungs
Muscle
(2) are correct
Infection; ectoparasites
Infestation; endoparasites
Endoparasites:infection
Ectoparasites;infestation
Endoparasites except
Pinworm
Cestodes
Tapeworm
Cryptosporidium
Arthropods
(2) Classification of platyhelminths
Tapeworms / trematodes
Trematodes / flukes
Cestodes / flukes
Tapeworms / cestodes
Nematodes bases are
Elongated
Shortened
Parasite that causes infestation
Protozoans
Nematodes
Cestodes
Ectoparasites
Parasites that causes infection
Endoparasites
Ectoparasites
The following are parasites causing infection except:
Giardia lamblia
Wuchereria bancrofti
Ctenocephalides canis
Toxoplasma gondii
Parasites that may exist onLARGE/SMALL INTESTINE
Intestinal parasites
Extraintestinal parasites
Parasites that may exist onLUNGS, LIVER, BLOOD OR MUSCLE
Intestinal parasites
Extraintestinal parasites
Nematodes bases are
Elongated
Shortened
Which is not an example of a zoonotic disease?
Lyme Disease
Toxoplasmosis
Pseudomonas aeruginosa(human infection from plants)
Nematodes are
Monoecious
Diecious
Does nematodes have alimentary canal?
Present & complete
Incomplete
None
Nematode buccal cavity
Absent
Present
Nematodes head end:
With suckers; no hooks
No suckers; with hooks
With suckers & hooks
No suckers & hooks
Trematode bases
Elongated
Shortened segmented
Leaf-like unsegmented
Trematode sexes
Monoecious
Diecious
Trematode alimentary canal
Absent
Incomplete; no anus
Incomplete; no duodenum
Present & Complete
Trematode buccal cavity
Present
Absent
Trematode head end:
With suckers & hooks
No suckers & hooks
With suckers; no hooks
No suckers ; with hooks
Not a commensal intestinal amoeba
E.coli
E.hartmani
E.gingivalis
E.nana
E.butchlii
Cestode bases
Shortened segmented
Curved longated
Leaf-like unsegmented
Tape-like segmented
Cestode sexes
Polygamous
Diecious
Monoecious
Cestodes
Alimentary canal; Buccal cavity
Absent;Present
Both present
Present ;Absent
Both absent
Cestodes head end:
With suckers; often with hooks
Often without suckers; with hooks
Suckers & hooks both absent
Postulated 2 morphologically indistinguishable species of E.histolytica
Carolus Linnaeus
Emile Brumpt
Francesco Redi
Ronald Ross
All are used for distinguishing
E.dispar
E.histolytica
E.moshkovskii
except:
PCR
RFLP
thick and thin blood films
Monoclonal body typing
Pseusopod-forming non-flagellated protozoan parasite
E.histolytica
E.dispar
E.nana
Most invasive of entamoeba spp.,
Strict anaerobe And causes liver abscess & colitis
E. histolytica
E. coli
E.gingivalis
Entamoeba histolytica
Outer membrane ; endoplasmic reticulum
Triple coat; granulated
Thin coat ; well developed
Fuzzy coat; not well developed
Stages of development of E.histolytica
Trophozoite
Pre cyst
Metacyst
Metacystic trophozoite
Pre cyst
Metacyst
Metacystic trophozoite
Trophozoite
E.histolytica trophozoite
Pre cyst- excystation
Meta cyst- quadrinucleated
Metacystic trophozoite- found in large intestine
Pre cyst- quadrinucleated
Meta cyst- found in large intestine
Metacystic trophozoite-excystation
Size:10um
Shape:dependent on pseudopodia
Motility: unidirectional & progressive
Nucleus: 1
E.histolytica troph
E.histolytica cyst
E.nana troph
E.nana cyst
E.histolytica trophozoite (4)
Found in lumen & glandular crypts of colon in the tissue
Surrounded by a layer of achromatic globules
Active & vegetative
MOT: fecal-oral route
Invasive form
3 main processes that govern the pathogenic effect
Lipogenesis
Cytoadherence
Cytolysis
Proteolysis
Attachment to cell
Cytoadherence
Lipolysis
Proteolysis
Cell breakdown
Cytolysis
Cytoadherence
Breakdown of proteins
Proteolysis
proteoglycan
Clinical manifestation of E.histolytica in the intestine (2)
Intestinal lesion
Ameboma
Amebiasis
Hepatic amebiasis
Ameboma
Granulomatous mass
Apple-core lesion
Sequela of an amebic ulcer
Flask-shaped ulcer
One of the clinical manifestation of E.histolytica in the liver is early liver abscess and 4 others
Diffuse amebic hepatitis
Hepatic amebiasis
Ameboma
Amebic hepatitis
Amebic abscess
Whipworm
Hymenolepis nana
Entamoeba dispar
Fasciola hepatica
Trichuris trichiura
Threadworm
Taenia solium
Strongyloides stercoralis
Taenia saginata
Ascaris lumbricoides
Giant intestinal roundworm
Ascaris lumbricoides
Dipylidium caninum
Enterobius vermicularis
Hymenolepis nana
Pinworm
Fasciolopsis buski
Schistosoma mansoni
Enterobius vermicularis
Clonorchis sinensis
Cat and dog tapeworm
Taenia solium
Dipylidium caninum
Taenia saginata
Diphylobothrium latum
Fish tapeworm
Taenia solium
Dipylidium caninum
Taenia saginata
Diphylobothrium latum
Dwarf tapeworm
Hymenolepis nana
Clonorchis sinensis
Paragonimus westermani
Entamoeba dispar
Large intestinal fluke
Trichuris trichiura
Fasciolopsis buski
Schistosoma japonicum
Enterobius vermicularis
Sheep liver fluke
Fasciola hepatica
Schistosoma japonicum
Strongyloides stercolaris
Fasciolopsis buski
Chinese liver fluke
Clonorchis sinensis
Hymenolepis nana
Entamoeba dispar
Paragonimus westermani
Blood fluke
Entamoeba dispar
Schistosoma mansoni
Enterobius vermicularis
Schistosoma japonicum
Oriental lung fluke
Ascaris lumbricoides
Hymenolepis nana
Paragonimus westermani
Schistosoma haematobium
This parasite is transmitted by Sandfly and causes infection of the visceral organs.
T. brucei
T.cruzi
L. tropica
L. donovani
A protozoan parasite with bilateral symmetry, 4 pairs of flagella and causes Traveller's diarrhea.
G. lamblia
T. vaginalis
T. hominis
B. malayi
The smallest tapeworm that infects man and can become an adult.
D. latum
T. saginata
E. granulosus
H. nana
The findings of ingested RBCs in a trophozoite identifies what parasite?
E. histolytica
E. coli
D. fragilis
E. nana
It results when an infected individual becomes his own direct source of infection.
Autoinfection
Hyperinfection
Superinfection
All of the following are transmitted orally, except:
Taenia spp.
Spirometra spp.
Hookworms
A. lumbricoides
Congenital transmission is associated to what parasite?
Hookworm
Strongyloides
T. gondii
Cryptosporidium
All of the following has higher degree of sensitivity in detecting intestinal parasites, except:
DFS
Kato thick
Kato katz
FECT
What is the function of ventral sucker seen in trematodes?
Attachment
Reproduction
Feeding
Vegetation
A stool culture technique that is used to cultivate the hookworms and thread worm:
Kato katz
Harada mori
Kato thick
FECT
In COPT test, what is the possible positive result?
Agglutination
Bubble formation
Bleb formation
Precipitin line
"Monkey face" looking parasite:
E. nana
G. lamblia
T. vaginalis
E. dispar
This parasite is known as the "Malaria of the East".
I. belli
T. cruzi
B. microti
D. fragilis
Mosquito vector of Malaria in the Philippines is
Aedes aegypti
Anopheles flavirostris
Culex quinquefasciatus
Mansonia annulata
The habitat is the large intestine
Entamoeba gingivalis
Entamoeba histolytica
Giardia lamblia
Naegleria fowleri
Anchovy sauce-like materials is associated with
Amoebic colitis
Amoebiasis cutis
Pulmonary amoebiasis
Amoebic liver abscess
The pathogenic stage of Entamoeba histolytica to man has
pseudopodia
Ingested RBC
both
neither
Frank dysentery in Amoebiasis is frequently present with the involvement of the
brain
cecum
liver
recto-sigmoid region
Which species of Plasmodium may readily be identified when crescent-shaped gametocytes are found in stained blood films?
P. falciparum
P. malariae
P. ovale
P. vivax
For which of the following diseases is close contact with an infected human host the most important mechanism of transmission?
Schistosomiasis
Toxoplasmosis
Trichinosis
Trichomoniasis
Which stage of Taenia saginata is usually infective for humans?
Cysticercus larva
Embryonated egg
Filariform larva
Rhabditiform larva
Decontamination of drinking water, fruits, and vegetables before consumption is necessary in countries without well developed public sanitation. Which of the following diseases would probably be least affected by that kind of precaution?
Amebiasis
Ascariasis
Filariasis
Giardiasis
Cysts are the infective stage of this intestinal flagellate.
Balantidium coli
Dientamoeba fragilis
Entamoeba coli
Giardia lamblia
Many parasites have different stages of growth within different hosts. The host where the sexual reproductive stage of the parasites exists is called the
Commensal
Definitive host
Intermediate host
Vector
Which of the following findings in a peripheral blood smear is especially associated with tissue-invading helminths but may also be found in a variety of allergic conditions and other diseases?
Leukopenia
Lymphocytosis
Neutropenia
Eosinophilia
Which species of malaria parasite usually has ameboid trophozoites and produces small reddish dots in the red blood cell cytoplasm?
Plasmodium knowlesi
Plasmodium falciparum
Plasmodium malariae
Plasmodium vivax
Species identification of an immature amebic cyst can be very difficult. The presence of a large glycogen mass is
sometimes seen in
Dientamoeba fragilis
Endolimax nana
Entamoeba coli
Entamoeba histolytica
The duration of the Erythrocytic-Schizogonic Cycle is 72 hours
Benign tertian malaria
Malignant tertian malaria
Quartan malaria
All of the above
Sub-tertian Malaria is cause by
Plasmodium vivax
Plasmodium malariae
Plasmodium falciparum
Plasmodium ovale
Associated with Entamoeba gingivalis
Trichomonas hominis
Trichomonas vaginalis
Trichomonas tenax
All mentioned
Produces Ziemann’s dot
Plasmodium falciparum
Plasmodium malariae
Plasmodium ovale
Plasmodium vivax
The most commonly involved organ in Hydatid Disease is the
liver
lungs
kidney
brain
Taeniasis solium is produced after ingestion of the
Cysticercoid larvae
Cysticercus bovis
Cysticercus cellulosae
Taenia egg
Taenia saginata is associated with
Cat
Dog
Cattle
Pig
Produces Ocular cysticercosis to man
Dipylidium caninum
Hymenolepis diminuta
Taenia saginata
Taenia solium
Bothriocephalus anemia is associated with
iron deficiency anemia
microcytic hypochromic
pernicious anemia
megaloblastic anemia
The infective stage of Diphyllobothrium latum to man to produce adult infection is the
cysticercoid larva
procercoid larva
sparganum larva
cysticercus larva
Hookworms
Necator americanus
Ancylostoma caninum
Neither
Both
Cutaneous larva migrans
Nonhuman hookworms
Human hookworm
Causative agent of Uncinariasis
Ascaris lumbricoides
Neisseria gonorrhea
Ancylostoma duodenale
Necator americanus
Old world hookworm
Ancylostoma caninum
Ancylostoma duodenum
Ancylostoma braziliense
Ancylostoma americanus
Habitat of necator americanus
Duodenum only
Ileum only
Duodenum & jejunum
Jejunum & proximal ileum
Preferred route of infection for Ancylostomiasis
Oral
Percutaneous
Rectal
Sexual contact
Preferred route of infection for Ancylostomiasis
Oral
Percutaneous
Rectal
Sexual contact
Definitive host of Ancylostoma braziliense
Pig
Horse
Cat
Dog
Treatment of cutaneous larva migrans
Fluorocyanide
Aspirin
Thiobendazole
Thionalangkasi
Laboratory diagnosis of Strongyloides stercoralis: What will you see in duodenal fluid/sputum?
Filariform larva
Rhabditiform larva
Adult worm
Egg
Other names of Enterobius vermicularis EXCEPT
Pinworm
Seat worm
Stand worm
Society worm
Postulated 2 morphologically indistinguishable species of E.histolytica
Carolus Linnaeus
Emile Brumpt
Francesco Redi
Ronald Ross
Disease caused by E. vermicularis
Enterobiasis
Oxyuriasis
Both
Neither
Egg is D shaped or lop-sided appearance
E. vermicularis
A. duodenale
T. cati
S. stercoralis
Laboratory diagnosis of Enterobius vermicularis by demonstration of eggs or adults in what technique
Direct fecal smear
Sputum test
Graham scotch tape swab
Harada Mori technique
Visceral larva migrans
Enterobiasis
Toxocariasis
Filariasis
Ancylostomiasis
These are sheathed filarial worms EXCEPT
Loa Loa
Onchocerca volvulus
Wuchereria bancrofti
Brugia malayi
Malayan filariasis
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Brugia
Wuchereria
Mansonella
Moira
Eye worm
Onchocerca
Loa loa
Brugia
Wuchereria
River blindness
Necator
Enterobius
Toxoplasma
Onchocerca
Ozzard filarial
Ancylostoma
Mansonella
Trichinella
Ascaris
Calabar of fugitive swelling
Toxocara cati
Brugia malayi
Loa loa
Hookworm
Cochin-China diarrhea
Pinworm
Hookworm
Seatworm
Threadworm
Usual habitat of Strongyloides stercoralis
Appendix
Small intestine
Stomach
Large intestine
ABOVE the knee elephantiasis
Loa loa
Brugia malayi
Wuchereria bancrofti
Both brugia & wuchereria
BELOW the knee elephantiasis
Loa loa
Brugia
Wuchereria
Both Brugia and Loa loa
Diurnal periodicity
Loa loa
Brugia
Wuchereria
Strongyloides
Capillaria philippinensis is 1st reported in Ilocos Norte. It is transmitted through small fish. Example of small fish are these EXCEPT
Birut
Bagsit
Bagsang
Bebelab
Mystery disease
Pinworm
Muscle round worm
Pudoc worm
Threadworm
Lemon shape
Giardia
Trichuris
Ascaris
Capillaria
Habitat: Lung
Paragonimus
Giardia
Fasciola
Schistosoma
No respiratory or circulatory system
Nematodes
Cestodes
Trematodes
Flagellates
Specimen of choice for the recovery of Schistosoma haematobium
First morning urine
Random urine
24-hour urine
Catheterized urine
Outermost layer of fertilized decorticated Ascaris lumbricoides ova
Lipoidal vitelline
Lecithin granules
Glycogen layer
Albuminoid layer
Common name for Trichuris trichiura?
Thread worm
Guinea worm
Giant intestinalroundworm
Whip worm
Common name for Ascaris lumbricoides?
Thread worm
Guinea worm
Giant intestinal roundworm
Whip worm
Common name for Dracunculus medinensis
Thread worm
Guinea worm
Giant Intestinalroundworm
Whip worm
Common name for Strongyloides stercoralis?
Thread worm
Guinea worm
Giant intestinalroundworm
Whip worm
Common name for Trichinella spiralis?
Pudoc's worm
Pin worm
Trichina worm
Rat Lung worm
Common name for Angiostrongyloides cantonensis?
Pudoc's worm
Trichina worm
Pin worm
Rat lung worm
Common name for Capillaria philippinensis?
Pudoc's worm
Trichina worm
Pin worm
Rat Lung Worm
Common name for Enterobius vermicularis?
Pudoc's worm
Trichina worm
Pin worm
Rat Lung worm
Common name for Loa-loa?
African eye worm
West round worm
Intestinal round worm
Tape worm
Common name for Anisakis spp. ?
Herrings worm
Seal worm
Codworm
AOTA
NOTA
Also known as New world hook worm?
Necator americanus
Ancylostoma duodenale
Ancylostoma americanus
Necator duodenale
Also known as Old world hookworm?
Necator americanus
Ancylostoma duodenale
Ancylostoma americanus
Necator duodenale
Also known as Old world hookworm?
Necator americanus
Ancylostoma duodenale
Ancylostoma americanus
Necator duodenale
What are the three basic morphologic structure?
Eggs, Larvae, Oblique
Eggs, Circle, Larvae
Eggs, Larvae, Adult worms
Eggs, Circle, Transparent
AOTA
It is a thick, transparent and hyaline shell
Eggs
Larvae
Cylindrical
Adult worms
It is long and slender
Eggs
Larvae
Hyaline Shell
Adult worms
What is the habitat of Trichinella spiralis?
Small intestine
Large intestine
Striated muscle
Cecum
Referred to as "Chinese Lantern Ova"
Trichuris trichiura
Trichinella spiralis
Strongyloides stercoralis
Dracunculus medinensis
It is barrel or football shaped with bipolar mucus plug or "Japanese Lantern"
Trichuris trichiura
Trichinella spiralis
Strongyloides stercoralis
Dracunculus medinensis
It is the ONLY nematode ever coughed and vomited
Ascaris lumbricoides
Enterobius vermicularis
Strongyloides stercoralis
Ancylostoma caninum
2 among the choices
What is the symbol of Physician and the serpents believed to represents the Guinea worm?
Cadeceus
Caduceus
Caudeceus
Cauduceus
The mature cyst of Entamoeba histolytica has how many nuclei?
1-2
2
2-3
4
Which of the following organisms preferentially invades reticulocytes?
P.vivax
P.falciparum
P.malariae
P.ovale
What organism is the cause of Kala-Azar?
T. cruzi
L. donovani
T. gambiense
L. braziliensis
A lemond shaped cyst with a nipple at one end belongs to:
Dientamoeba
Giardia
Trichomonas
Chilomastix
How is T. cruzi transmitted?
Sexual contact
Tse tse fly
Ixodes
Reduviid bug
Which of the following parasites is associated with AIDS?
Babesia
Sarcocystis
Cryptosporidium
Isospora belli
In what type of specimen can the atrial flagella survive?
Blood
Stool
Vaginal secretion
Spinal fluid
The helminth infection that can induce the highest rise in eosinophils in peripheral blood is:
Taeniasis
Trichinosis
Trichuriasis
Trichomoniasis
Which malarial organism whose schizont resembles a fruit pie in which the merozoites form a Rosette around malarial pigment?
P. falciparum
P.ovale
P.malariae
P.vivax
What is the ideal temperature at which hold a fecal specimen for any length of time?
Refrigerator
Incubator
Room temperature
Freezer
Also known as the pork tapeworm and the common mode of infection is eating raw pork:
H.nana
T. solium
T.saginata
D. caninum
Which of the following has a falling leaf motility?
Blastocystis hominis
Giardia lamblia
Trichomonas hominis
Chilomastix mesnili
What is the size of the cyst of Entamoeba hartmanni?
10 to 20 um
15 um
< 20 um
< 10 um
Which of the following organism has a sunburst appearance in their egg?
Schistosome spp.
Hymenolepsis spp.
Leishmania spp.
Taenia spp.
Which of the following is the oldest schistosome?
Schistosome haematobium
Schistosome mansoni
Schistosome intercalatum
Schistosome japonicum
It is the largest intestinal fluke:
Faciolopsis buski
Heterophyid fluke
Garrisons fluke
Fasciola hepatica
It harbors asexual/larval stage
Final host
Paratenic host
Reservoir host
Intermediate host
Study of patterns distribution and occurrence of disease:
Incidence
Epidemiology
Prevalence
Eradication
Parasite that lays eggs which hatch before leaving host:
Oviparous
Viviparous
Oviviparous
AOTA
What is the 2nd intermediate host of Diphyllobthrium latum?
Freshwater fish
Crabs
Snail
Copepods
Amebiasis is caused by:
E. hartmanni
E. histolytica
E. coli
E. nana
The eggs of E. granulosus are found in the feces of:
Dogs
Cats
Cattle
Fish
In which specimen are Acanthamoeba and Naegleria usually found?
Blood
Body fluid
Joint fluid
CSF
Which of the following organs of the body is most often involved in extraintestinal amebiasis?
Liver
Intestine
Heart
Pancreas
What is the preferred specific gravity of zinc sulfate solution for the floatation method?
1.01
1.40
1.18
1.05
Which of the following has a shaped like rose thorns?
Schistosoma haematobium
Schistosoma mansoni
Blastocystis hominis
Dientamoeba fragilis
What is the second Intermediate host of F. gigantica?
Snail
Copepads
Aquatic plants
Crabs
A six-hooked embryo is known as:
Strobila
Hexacant
Scolex
Proglottid
Parasite of wading birds, human infection reported through ingestion of sushi:
Acanthocephala spp.
Gongylonema spp.
Eustrongyloides spp.
Anisakis spp.
Which of the following is the only filarial specie confined to new world?
Mansonella streptocerca
Mansonella perstans
Mansonella ozzardi
P. cantonensis
Nematodes
Flatworms
Roundworms
These are protozoa except
Amoeba
Ciliates
Nematodes
Sporozoa
These are flagellates EXCEPT
Giardia
Trichomonas
Leishmania
Cryptosporidium
Trematodes are hermaphroditic EXCEPT
Pancreatic flukes
Intestinal flukes
Blood flukes
Liver flukes
