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pythium quiz

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

Pythium belongs to which class of organisms ?

a)

Phylum Straminipila, Class Oomycetes, Order Pythiales, and Family Pythiaceae

b)

class Straminipila, phylum Oomycetes, Order Pythiales, and Family Pythiaceae

c)

class Straminipila, phylum Oomycetes, family Pythiales, and order Pythiaceae

d)

order Straminipila, Class Oomycetes, Order Pythiales, and phylum Pythiaceae

2.

The various presentations of pythium keratitis are ?

a)

Ocular

b)

Vascular

c)

Cutaneous

d)

all of the above

3.

Phythium keratitis has been found to be associated with

a)

thalassemia/hemoglobinopathy syndrome

b)

cavernous sinus thrombophlebitis.

c)

paroxysmal nocturnal haemoglobinuria

d)

all of the above

4.

The increased incidence of Pythium keratitis in thalassemia patients is due to ?

a)

Iron overload

b)

Hemochromatosis

c)

Inhibition of phagocytic action of TNF-a, IFN-c, macrophages, and neutrophil production

d)

All of the above

5.

The difference in gram staining and 10 % KOH mount between Pythium keratitis and fungus are ?

a)

Slender long septate or aseptate hyaline hyphae

b)

Perpendicular lateral branches along the hyphae

c)

Presence of numerous vesicles in hyphae of Pythium

d)

All of the above

6.

Which color change is used for identifying hyphae of Pythium keratitis in staining by iodine potassium iodide (IKI) and sulfuric acid stain (IKI-H2SO4).

a)

Blue to bluish black

b)

Yellow to yellowish brown

c)

Red to brown

d)

Green to bluish

7.

Why do Pythium keratitis stain different from Fungus in PAS stain ?

a)

The presence of cholesterol in the Pythium cell wall, which gives a weaker acid reaction with pectin and chitin.

b)

The presence of cellulose in the Pythium cell wall, which gives a weaker acid reaction with pectin and chitin.

c)

The presence of ergosterol in the Pythium cell wall, which gives a weaker acid reaction with pectin and chitin.

d)

all of the above

8.

The classical clinical features which separate Pythium from other infective keratitis are ?

a)

stromal infiltrate with hyphenated edges

b)

tentacular projections

c)

peripheral furrowing with thinning, and guttering

d)

All of the above

9.

Which features mimic atypical Mycobacteria in Pythium keratitis ?

a)

Epithelial breach and greyish white stromal infiltrate

b)

cracked windshield appearance of the infiltrates

c)

Stromal edema and Descemet membrane folds

d)

All of the above

10.

The following features are characteristic in invivo confocal microscopy of Pythium keratitis ?

a)

Beaded branching hyperreflective structures

b)

long slender, thin hyperreflective lines

c)

The branching angle of Pythium hyphae is around 78.6 degrees

d)

All of the above