PARASITOLOGY (CESTODES) a) Rosette shaped proglottid

b) Double-pored proglottid
Case 1 (numbers 1-7) . A 19-year-old female of
c) Lateral branches
Scandinavian origin, came in due to dizziness.
d) Hexacanth embryo
She also had symptoms of abdominal
discomfort for 6 months. Patient also had 7. Treatment for this condition is?
significant weight loss.
a) Mebendazole
1. Her condition could be most likely associated b) Pyrantel pamoate
with what parasitic infection? c) Praziquantel
d) albendazole
a) Hookworm
b) Broad tapeworm
c) Beef tapeworm
Case 2 (numbers 8-10). A 37-year-old man came
d) Rat tapeworm
in with complaints of right upper quadrant pain
2. What is the infective stage? associated with nausea and vomiting. PE
revealed no palpable mass. Imaging studies,
a) Oncosphere
however, revealed cystic lesions within the liver
b) Procercoid larvae
parenchyma. Aspiration of the cyst revealed
c) Sparganum
brood capsules, protoscolices and calcareous
d) Copepod
corpuscles.
3. What is/are the morphologic characteristic/s
8. Most likely diagnosis would be?
for the scolex of the organism?
a) Liver cirrhosis
a) 2 bilateral bothria
b) Cystic echinococcus
b) Almond shape
c) Hepatoma
c) Both A and B
d) cholecystitis
d) None of the above
9. Causative organism for Hydatid Disease
4. Condition associated with this parasitic
would be
infection?
a) E. granulosus
a) Vitamin B12 deficiency
b) E. multiocularis
b) Pernicious anemia
c) E. vogeli
c) A and B
d) D. caninum
d) None of the above
10. Definitive hosts for this infection
5. Diagnostic stage of the tape worm is?
a) Sheep
a) Egg with lateral knob
b) Pigs
b) Egg with terminal spine
c) Cattle
c) Egg with lateral spine
d) Dogs
d) Egg with operculum and knob
Numbers 11-13.
6. Proglottids of the parasite could also be of
diagnostic value, what is then the characteristic 11. Alveolar echinococcus is caused by:
morphology?
a) E. granulosus
 b) E. multiocularis d) Eggs are immediately infective when
c) E. vogeli passed with the stool
d) D. caninum
18. Distinctive characteristic feature of D.
12. Primary infection is found in what organ> caninum ova

a) Spleen a) Hexacanth embryo

b) Brain b) Polar filaments
c) Liver c) Eggs packets
d) Lung d) Double pores

13. Scolex is described as: 19. What is the intermediate host for D.
caninum
a) Hooked rostellum with 2 suckers
b) Hooked rostellum with 3 suckers a) dog
c) Hooked rostellum with 4 suckers b) cat
d) Hooked rostellum with NO suckers c) rat flea
d) dog flea
14. Hymenolepis diminuta eggs are best
described having this distinctive feature 20. How is Dipylidiasis acquired by humans?
EXCEPT:
a) Ingestion of egg
a) Hexacanth embryo b) Ingestion of egg by eating dog and cat
b) With polar filaments meatn
c) Smooth side between the membrane c) Ingestion of cysticercoid contaminating
d) None of the above dog/cat flea
d) Both A & C
15. Known as the most common of all cestode
infections: FOR NUMBERS 21-25: MATCHING TYPE

a) H. nana 21. Dog tapeworm: Dipylidium caninum

b) T. solium
22. Rat tapeworm: Hymenolepis diminuta
c) D. latum
d) H. saginata 23. Dwarf tapeworm: Hymenolepis nana
16. What is the infective stage of H. nana? 24. Fish tapeworm: Diphyllobothrium latum
a) Embryonated ova 25. Hydatid sand: Echinococcus multiocularis
b) Cysticercoids
c) Both A & B
d) None of the above 26. 36-year-old, vaguely localized abdominal
pain, normal build and normal vital signs. On
17. How does H. nana autoinfection in humans? palpation, abdomen is soft and relaxed, per
rectal examination is normal. Laboratory results
a) Eggs release hexacanth embryo which
are Hgh: 14 g/dl, platelet is 3.50x105 um3,
penetrates the villus
normal WBC, creatinine is 0.5 mg/dl, BUN is 5
b) Eggs return to the intestinal lumen and
mg/dl, Na is 138 mmol/L, K is 4.2 mmol/L, ESR
evaginate their scoleces
8. Liver function test is normal. Ileo-
c) Cysticercoid develop into adults and
produce gravid proglottids
colonoscopy reveal tiny worms of 4-5 mm. a) Praziquantel
Negative for ova, cyst and parasite. H. nana b) Mebendazole
c) Niclosamid
27. What is it’s drug of choice?
d) albendazole
a) Praziquantel
39. Gravid proglottids of this species have
b) Albendazole
characteristic?
c) Niclosamide
d) None of the above a) Wider than are long
b) Longer than are wide
28. If the oncopheres has 2 polar thickenings
c) 7-13 lateral branches
but no polar filament, would you consider H.
d) Uterine forms rossette
nana infection?
40. Gravid proglottid in Hymenolepis spp.:
a) No, because the absence of polar
Wider than long
filaments will really differentiate H.
nana from the other 41. Flea tapeworm: D. caninum
b) Yes, because the absence of polar
42. D. latum gravid proglottid: Rosette uterus
filaments will distinguish H. nana from
the other 43. Cysticercosis of human is infected by T.
c) No, I think sparganosis instead saginata? True or False.
d) No, the case describes the pastoral and
sylvytal cycle. 44. Sparganum is differentiated from racemose
by cyst on the parenchyma?
29. Intermediate host of Taenia solium? Pig
a) True
30. Intermediate host for T. saginata: Cattle b) False
31. 45. Chemotheraphy should be used to treat
intraocular cysticercosis.
32. Thin-walled bladder within which a Taenia
scolex develops: cysticercus a) True
b) False
33.
46. T/F. Coercus larvae is larger than
34. True about D. caninum: membrane-
cysticercus:
enclosed packets
47. T/F. Sparganosis may cause membrane
35.
neuropathy.
36.
48. Freezing pork to -15oC for 4 days kills Taenia
37. Xray is performed and 5x5 cm space cyst is larva: True or False
found, what infection had occurred?
49. T/F. Coenurus disease is an infection of
a) Taeniasis Cysticercus cellulae? False (Multiceps
b) Hymenolepis multiceps)
c) Diphyllobothriasis
50. T/F: Rupture of abdominal hydatid cyst
d) echinococcosis
leads to anayphylactic shock and migration to
38. Treatment for diphyllobothriasis: other organs.