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MTCE PARASITOLOGY Quiz No.

1 Rationale
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True or False? Trichuris trichiura larvae mature into microscopic adults in the
small intestine of the human host.
FALSE; T. trichiura larvae matures into microscopic adults in the LARGE
intestine of the human host.
This parasite is considered as a virus-like parasite.
Trichinella spiralis; aka Trichina worm. A parasite that acts as a virus
and is acquired through the ingestion of food (raw pork meat).
The most common drug of choice for Enterobius vermicularis infection
Pyrantel pamoate is the drug of choice for E. vermicularis although
albendazole and mebendazole can be also used.
What is the only difference between the life cycle of Trichuris trichiura from
Ascaris lumbricoides?
No migration in Trichuris trichiura. The embryonated egg of the A.
lumbricoides hatch in the small intestines. The larvae released from
the eggs begin larval migration then mature into adult.
Give the nematodes that demonstrate autoinfection.
Enterobius vermicularis
Capillaria philippinensis
Strongyloides stercoralis
What is the reason why the microfilariae of Onchocerca volvulus is not seen
in the blood smear?
Microfilariae of O.volvulus remain in subcutaneous tissue/ Microfilariae
do not travel in the circulation
Where was the first human infection with Angiostrongylus cantonensis first
noted?
Taiwan. However, it was first described from domestic rats from
Canton, China.
True or False? Capillaria philippinensis ova are peanut shaped with a thin
hyaline covering and flat bipolar plugs.
True

9. How do we acquire Trichinella spiralis infection?


Eating of raw pork. The intermediate and definitive host of T.
spiralis are Humans, pigs and rats. Infection can be prevented
and controlled by properly cooking of meat, proper storage of
meat and keeping of pigs in rat-free pens.
10. It is the causative agent of Eosinophilic meningoencephalitis
Angiostrongylus cantonensis
11. Hookworm that has three pairs of ventral teeth?
Ancylostoma caninum
12. Diagnostic stage of Necator americanus
Hookworm eggs/ova. Egg is oval, thin shelled, with clear pace
between shell and contains embryo in 2-8 cell stage of cleavage.

13. True or False; Strongyloides stercoralis autoinfects an individual


because the population of adult worms within the human body divides
into two populations that reproduce for different reasons.
False; Mechanism of autoinfection for Capillaria philippinensis. In
S. stercoralis, the parasitic female inhabits and lays eggs in the
mucosa of the small intestine. The adult parasitic female is
parthenogenic (produce viable eggs without fertilization by male
adult). The eggs hatch in the mucosa and release rhabditiformm
larva (1st larval stage, non-infective) into the feces. Rhabditifojrm
larva undergoes either non-parasitic cycle (free-living cycle) or
parasitic cycle.
14. Causative agent of rectal prolapse.
Trichuris trichiura

15. Vector of Onchocerca volvulus


Simulian fly/ Black fly
16.
This sheathed parasite has two distinct nuclei at the tip of the tail
and demonstrates subperiodic periodicity.
Brugia malayi
17. A person heavily infected with Trichuris trichiura may also eventually
be infected by what other parasite?
Entamoeba histolytica; Lesions produced by adults in the large
intestine are good breeding grounds for E.histolytica
18. Dracunculus medinensis infection is acquired through?
Ingestion of contaminated water. Mode of transmission of D.
medinensis is through ingestion of crustacean with larvae.
19. A medical technologist encountered this in his
microscopy;

20.
21.
22.
23.

24.

What change in the patients lifestyle would you


think that the physician would STRONGLY suggest in
changing?
Properly cooking of fish/ not eating of raw fish
Diagnostic stage of Strongyloides stercoralis
Diagnostic stage of Strongyloides stercoralis
Infective stage of Loa loa
Larvae/3rd stage larvae
Infective stage of Dracunculus medinensis
Infective larvae/larvae
Similarity of Ancylostoma braziliense, Strongyloides stercoralis, Ascaris
lumbricoides adults in the lifecycle
Heart migration
Similarity of Trichuris trichiura, Necator americanus and Ascaris lumbricoides
manner of infection
Soil-borne

25. Drug of choice for Filariasis


Diethylcarbamazine
26. Vector of Brugia malayi
Mansonia mosquitoes
27. What protein is present in Ascaris lumbricoides ova?
Albumin
28. Intermediate host of Capillaria philippinensis
Fresh water fish
29. True or False?Direct fecal smear is a standard procedure for diagnosis of all
nematodes.
False; Not all nematodes are diagnosed in stool
30. What are the three characteristics used to differentiate filarial worms?
Nuclei, Sheath and Periodicity
Filarial worms
Wuchereria
bancrofti

Brugia malayi
Loa loa

Onchocerca
volvulus

Nuclei
No nuclei at
the tip of the
tail; serves as
an important
diagnostic
feature
2 nuclei at the
tip of the tail
Have lines of
nuclei up to
the tip of the
tail

Sheath
Sheathed;
longer than
microfilaria
itself

Periodicity
Nocturnal (9
pm 2 am)

Sheathed

Sub-periodicity

Sheathed

No nuclei up to
the tip of the
tail

Unsheathed

Diurnal
increased
during the day,
minimal during
the
night( reside in
the lungs
during noncirculation)
Diurnal (same
with Loa loa)

31. Clearing agent used in Scotch tape method for diagnosing Enterobius
vermicularis
Xylene
32. Infective stage of Trichinella spiralis
Encysted larvae a.k.a NURSE CELL
33. Vector of Dracunculus medinensis
None; No vector is involved in life cycle of Dracunculus medinensis;
acquired through drinking of contaminated water
34. write down the scientific names of the common names listed in the slide
Pudoc worm
Seatworm
Oxyuria

Fiery serpent
Whipworm
Trichina worm
Cat hookworm
Rat Lung Worm
Giant Roundworm
Pinkworm
Answer
1. Capillaria philippinensis
2. Enterobius vermicularis
3. Enterobius vermicularis
4. Dracunculus medinensis
5. Trichuris trichiura
6. Trichinella spiralis
7. Ancylostoma braziliense
8. Angiostrongylus cantonensis
9. Ascaris lumbricoides
10.Ascaris lumbricoides
35. True or False; Strongyloides stercoralis are larger than Hookworms
False; Remember: Strongyloides Stercoralis are Small and Sexy