WorksheetsParasitology I
Total questions: 30
Worksheet time: 32mins
What are the major phyla of helminths that cause parasitic diseases of humans?
1. nematodes
2. cesodes
3. platyhelminths
1 only
1 & 2
1 & 3
3 only
1, 2 & 3
Which of the following is an example of a helminth with a simple human gut lifecycle and fecal-oral transmission?
Ascaris lumbricoides
Anclyostoma duodenale
Wuchereria bancrofti
Enterobium vermicularis
Taenia solium
Even though Ascaris lumbricoides is a gut helminth, the larvae migrate through which part of the human body?
skin
brain
lungs
kidneys
liver
Which of the following helminths gives birth to live young?
Ascaris lumbricoides
Taenia solium
Enterobius vermicularis
Wuchereria bancrofti
Ancylostoma duodenale
Which of the following helminths is found only in circulatory system (ie. does not have a gut stage)?
Schistosoma mansoni
Wuchereria bancrofti
Enterobius vermicularis
Taenia solium
Echinococcus spp.
Miracidia are a life stage of which parasites?
protozoa
parasitic snails
Enterobius vermicularis
Taenia solium
Schostosoma spp.
A man is holidaying in a tropical location and goes swimming in a lake near to his accommodation in a small village. The next day he notices he has an itchy skin rash and raised red bumps (papules) on his legs and feet. Which of the following is likely infecting him?
Ascaris lumbricoides
Schistosoma spp.
Ancylostoma spp.
Enterobius vermicularis
Wuchereria bancrofti
Eating under-cooked beef can result in infection with which of the following parasites?
Taenia saginata
Schistosoma hematobium
Enterobius vermicularis
Wuchereria bancrofti
Brugia malayi
T or F. The intermediate host of a parasite is the host where the sexually mature, adult stage of the parasite is found
(a)
T or F. Diagnosis of the majority of helminths is generally via microscopy of eggs (and sometimes larvae) in faeces
(a)
What are the medically relevant parasite groups?
1. helminths
2. protozoa
3. arthropods
1, 2 & 3
1 only
1 & 2
3 only
2 & 3
How to recognise a parasite?
morphology of parasite
body site infected
symptoms of patient
patient history
specific tests
Select all that are factors of parasitic infections
geographical location
hygiene standards
immunological status
age
political views
What are the two main groups of helminths?
roundworms (nematodes)
flatworms
arthropods
aracnids
Select all that is true about helminths
linked to low socioeconomic conditions and poor sanitation
intermedial host - larval stages
definitive host - sexually mature adult forms
found in many body site
bug like parasites
Select all that are true about nematodes
round, unsegmented worms
primarily in blood and gut
diagnosis - eggs/larvae in faeces
transmitted via faecal - oral route contamination
males have larger, sexual reproduction
Which are the important nematodes (soil-transmitted helminths)?
Ancylostoma spp. (Hookworm)
Ascaris lumbricoides
Trichuris trichiura
Enterobius vermicularis
What are the symptoms of soil-transmitted helminths?
malnutrition
growth stunting
mental and physical development in children
loss of vision
What is the correct order for the mode of transmission of nematodes
1. transdermal
2. vector-borne
3. faecal-oral
3, 1, 2
1, 2, 3
2, 3, 1
2, 1, 3
Select all that is correct about Enterobius vermicularis
pinworm infection
eggs are easily dislodged from perianal folds
disseminated by air currents
larave hatch around anus and retro-infect intestine
direct to gut
Select all that are correct about ascaris (roundworm)
faecal-oral transmission
cause malnutrition & bowel obstruction
gut -> lungs -> gut
migrate through gut wall and travel through lungs
are not able develop into adults
Select all that are correct about hookworms
transdermal stage
also known as Ancylostoma duodenale
circulate in blood and travel from heart to lungs
transmitted by birds
skin -> blood -> heart -> lungs -> gut
Select all that are correct about Wuchcheria bancrofti
larvae transmitted by vector-born
filariasis/elephantiasis disease
transmitted by mosquitoes
blood -> lymph
inflammation of lymphatics
no eggs
T or F. Cestodes are a type of flatworm
(a)
Select all that are correct about cestodes
no mouth, nutrients are absorbed
strobila (tape) is the segments (proglottids)
each proglottid is self sufficient
Taenia spp. & Echinococcus spp
primarily in liver
Morphological diagnosis is based on?
scolex shape
proglottid numbers
proglottid morphology
size of mouth
Select all that are true about trematodes
flatworms, oral and ventral suckers, blood feeders
asexual reproduction except Schistosoma (sexually)
Schistosoma spp. , Frasciola spp. , Fasciolopsis, Opisthorchis
found in blood, gut and tissue
usually 3 morphological stages
What is the correct order for the life cycle of trematodes
1. egg
2. sporocyst
3. cercaria
4. adult
5. redia
6. miracidium
4, 1, 6, 2, 5, 3
3, 4, 2, 5, 6, 1
1, 4, 3, 5, 6, 2
1, 2, 5, 6, 3, 4
Trematodes include
intestinal flukes
liver flukes
lung flukes
blood flukes
heart flukes
What are the acute infection signs and symptoms of Schistosoma
skin rashes / papules "swimmers itch"
fever, chills, muscle aches, abdominal pain
eggs shed in faeces or urine
adults coat themselves in host proteins - use to evade host immune system
adult worms can only live for a few years
