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1) Mansoni mosquitoes are vectors of Brugia malayi.

A. True (Your Answer)


B. False
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Other Brugia vectors are Anopheles and Aedes.
Incorrect
2) What drug is used to treat lymphatic filariasis caused by Wuchereria bancrofti
in areas of Africa co-endemic for Onchocerciasis?

A. Albendazole
B. DEC (Your Answer)
C. Ivermectin (Correct Answer)
D. Doxycycline
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All of these are used to treat LF, however Ivermectin is used in areas co-endemic for
onchocerciasis as it treats both. It was donated free for this by Merck.
Correct
3) Wuchereria bancrofti and Brugia microfilariae have a diurnal periodicity.

A. True
B. False (Your Answer)
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They have a nocturnal periodicity from 10pm to 2 am.
Incorrect

4) What do patients have to be monitored for when given DEC for Loa loa

A. Anaphylaxis (Your Answer)


B. Heart arrythmias
C. Brain inflammation (Correct Answer)
D. They don't have to be monitored
Incorrect
5) Transient punctate keratitis is a clinical manifestation of infection with Brugia.

A. True (Your Answer)


B. False (Correct Answer)
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It is a manifestation of Onchocerciasis. With optic atrophy, it causes blindness.
Incorrect

6)
Which of the following are possible clinical forms of a Mansonella infection. Select
more than 1.

A. Asymptomatic (Your Answer)


B. Pruritis (Your Answer)
C. Calabar-like swellings (Missed)
D. Facial oedema (Your Answer)
Incorrect
7) An unsheathed micofilaria, small at x100 (less than 250 microns), nuclei to its
tail tip and a bent tail is Mansonella perstans

A. True (Your Answer)


B. False (Correct Answer)
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If the tail is bent, it is likely to be streptocerca, although this is the only difference.
Incorrect
8) Mansonella ozzardi is found in the old world.

A. True (Your Answer)


B. False (Correct Answer)
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It is found in the New World.
Incorrect

9) The L1 larvae of W.bancrofti and B.malayi develop to L3 larvae in the...

A. Human blood
B. Midgut of the mosquito vector (Your Answer)
C. Thoracic muscles of the mosquito vector (Correct Answer)
D. Human lymphatics
Correct
10) The Mazotti test involves giving DEC to patients with Onchocerciasis.

A. True (Your Answer)


B. False
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This test causes pruritus to Onchocerciasis patients when given DEC.
Incorrect
11) Mansonella streptocerca can be diagnosed with a skin snip

A. True (Correct Answer)


B. False (Your Answer)
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Streptocerca causes a subcutaneous filariasis, unlike perstans and ozzardi which
cause a cavity filariasis.
Correct

12) Mansonella microfilariae are unsheathed


A. True (Your Answer)
B. False
Incorrect

13) Mass drug administration for lymphatic filariasis has to occur for how long
and in what population percentage to achieve eradication.

A. 4 - 6 years and 70% population coverage. (Correct Answer)


B. 2 - 4 years and 50% population coverage
C. 4 - 6 years and 90% population coverage (Your Answer)
D. 6-7 years and 80% population coverage
Correct

14) Wuchereria bancrofti is found...

A. In Asia
B. In Africa
C. In Africa, Asia and South America (Your Answer)
D. In Africa and South America
Correct

15) Which of the following are Mansonella perstans vectors

A. Blackfly
B. Chrysops
C. Culicoides midge (Your Answer)
D. Tsetse
Incorrect
16) These three forms of skin disease may occur in Onchocerciais. Select 3
answers.
A. Leopard skin depigmentation (Your Answer)
B. Larval currens (Your Answer)
C. Sowda (Missed)
D. Lizard skin atrophy (Your Answer)
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Larval currens occurs in strongyloides infection.
Sowda is an unusual form of Oncho that occurs in yemen.
Correct

17) Treatment of Wolbachia with doxycycline causes sterilisation of the female


worms.

A. True (Your Answer)


B. False
Incorrect

18) Onchocercoma nodules occur mainly...

A. Around the eyes


B. On the hands
C. Over bony prominences (Correct Answer)
D. On the legs (Your Answer)
Correct
19) Pulmonary tropical eosinophilia syndrome occurs in Loa loa infection.

A. True
B. False (Your Answer)
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It occurs in W.bancrofti and B.malayi infection. Symptoms are nocturnal cough,
wheezing and fever.
Incorrect
20) What is used to treat Mansonella ozzardi.

A. DEC
B. Single dose of ivermectin (Correct Answer)
C. Albendazole
D. Multiple doses of ivermectin (Your Answer)
Incorrect

21) If an unsheathed mirofilariae that is 250 - 300 microns long (big at x100) has
nuclei that don't go to its tail tip it is:

A. Mansonella Ozzardi (Your Answer)


B. Onchocerca volvulus (Correct Answer)
C. Brugia malayi
D. Wuchereria bancrofti
Correct

22) The vector for Onchocerciasis is

A. Anopheles mosquito
B. Blackfly (Your Answer)
C. Culicoides midge
D. Chrysops
Correct

23)
A calabar swelling is caused by angioedema.

A. True (Your Answer)


B. False
Incorrect

24) A microfilaria with a loose sheath, nuclei to its tail tip, bent tail and bigger
than 250 microns is

A. W.bancrofti (Your Answer)


B. Loa loa (Correct Answer)
C. M.streptocerca
D. O.volvulus
Correct
25) Loa loa microfilariae have a diurnal periodicity

A. True (Your Answer)


B. False
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10 am - 2 pm.

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