mucus.

Laboratory analysis of fecal

smear revealed inconstant in shape
organisms with erythrocytes. What
is the most likely diagnosis?
+ Amebiasis
- Schistosomiasis
- Intestinal trichomoniasis
- Balantidiasis
- Lambliasis

41.Several patients with similar

complaints came to the doctor. They
all present with weakness, pain in the
intestines, indigestion. Feces analysis
revealed the need for urgent
hospitalization of the patient, who had
microbial cysts with four nuclei
detected in his samples. Such cysts
arc characteristic of the following
protozoon:
+ Entamoeba histolytica
- Balantidium
- Entamoeba coli
- Trichomonad
- Lamblia

42.Mother with a 12-year-old child

came to the gastroenterologist. She
complains of loss of appetite and
meteorism in her child.
Endoscopically the child was
diagnosed with biliary dyskinesia, in
the duodenal contents there were
pear-shaped protozoa with two nuclei
and multiple flagella. What disease is
the most likely in this child?
+ Lambliasis
- Toxoplasmosis
- Balantidiasis
- Amebiasis
- Trichomoniasis
 shaped form with paired nuclei, four 36. A 26-ycars-old woman who had
pairs of flagella were found. Between two spontaneous miscarriages visited
the nuclei - two supporting filaments, maternity welfare clinic. What
on the ventral side there arc suction protozoa disease could cause
discs. What representative of protozoa miscarriages?
was found in (he patient? - Giandiasis
- Trypanosome - Trichomoniasis
Toxoplasma - Leishmaniasis
- Lcishmania + Toxoplasmosis
- Trichomonas intestinal - Trypanosomiasis
+ Lamblia
37. The patient came to the dentist
32. In the patient of the dental clinic with the symptoms of oral mucosa
by microscopy method single-celled inflammation. A smear obtained from
organisms were found in dental periodontal pockets revealed protozoa
plaque. Their cytoplasm is clearly with an irregular body shape reaching
divided into two layers, the nucleus is 6-60 mcm tn size and able to make
barely noticeable, pscudopods arc pseudopodia. What kind of protozoa
wide. Most likely, the patient has: is it? . . „
- Lamblia - Lamblia intestinalis
+ Stomatic Amoeba - Entamoeba coli
- Oral Trichomonas + Entamoeba gingivalis
- Dysenteric amoeba - Entamoeba histolytica
- Amoeba intestinalis - Trichomonas hominis
33. The patient has malaise, 38. In the study of a blood smear
accompanied by fever, weakness, taken from a patient and stained by
prolonged liquid bowel movements Romanovsky, the doctor found
up to 10-12 times a day, with acute protozoa and made diagnosis of
pain in the abdomen. In the study of Kruse-Chagas disease. What protozoa
faecal masses, structures of regular caused the "disease in this patient?
round shape with 4 nuclei were found. + Trypanosoma cruzi
This may be due to parasitism: - Toxoplasma gondii
- Entamoeba coli - Lcishmania donovani
- Lcishmania donovani - Lcishmania tropica
- Trypanosoma gamdicnsc - Trypanosoma brucei
+ Entamoeba histolytica
- Toxoplasma gondii 39.Sanitary assessment of a pond,
34. A woman have birth a dead child where the children from a recreation
with many developmental defects. summer camp take their swims,
What protozoa disease could cause detected there oval cysts 50-60
fetal death in the womb?
- Lanibliasis micron in diameter, with 2 nuclei
- Leishmaniasis visible in their cytoplasm
- Malaria (macronucleus and micronuclcus).
- Amebiasis
+ Toxoplasmosis What protozoa do these cysts belong
to?
35. Two weeks after the transfusion, + Balantidium
fever developed in the recipient. What
kind of protozoa disease should - Lamblia
doctor suspect? - Toxoplasma
- Toxoplasmosis - Amoeba
+ Malaria - Euglena
- Leishmaniasis
- Amebiasis
- Trypanosomiasis 40.A patient complains of acute
spastic abdominal pain, frequent urge
to defecate, liquid bloody feces with
25. Contractual patient consulted a
doctor on the occasion of progressive
signs of the central nervous system
affection, undue fatiguability,
drowsiness, infringement of
locomotion, consumption. The patientI
had been on business trip in the
Central Africa for a long time. What
disease could be assumed?
- diphyllobothriasis;
+ trypanosomiasis,
- ascaridosis;
- leishmaniasis;
- tnchoccphaliasis.
26. Protozoans can get into the human
body during swimming in water
reservoirs with an oozy bottom. These
protozoans are facultative human
parasites, they belong to class
Lobozca. Also they arc activators of
primary amoebic
meningoencephalitis. Define the type
of the protozoa;
- Entamoeba histolytica;
- Entamoeba coli;
- Entamoeba gingivalis;
- Trichomonas tenax;
+ Naegleria grubcri.
21. Married couple visited genetic
consultation in connection with a birth
of the child with plural developmental
anomalies (microcephaly).
Examinations of members of the
family did not detect a hereditary
pathology, karyotypes of the parents
and of the child were normal. The
woman did not suffer from any
disease during pregnancy, was not
affected by mutagens and teratogens.
During conversation the doctor found
out that the woman contacted to a cat
last years. What actions of the doctor
were most appropriate for finding-out
the causes of ugliness of the child?
+ infection of white mice and splitting
off the parasites;
- microscopy of duodenal juice;
- examination of the blood smears;
- examination of the feces;
- examination of the scraping from
mucous coat of genitals.
28. Nausea, vomiting, frequent (20
times a day) liquid excrements with
impurity of slime and blood are
observed at the patient. The vegetative
forms with 2 nuclei, cilia and one-
nuclear cysts arc detected at
microscopic research of the
excrements. What is the most
probable diagnosis at the patient?
- amebiasis;
+ balantidiasis;
- toxoplasmosis;
- lambliosis;
- intestinal trichomoniasis.
29. A patient suspected of having a
protozoan disease had a lymph node
punctate examination. A specimen
stained by Romanowsky-Giemsa
revealed half-moon-shapea bodies
with pointed ends, blue cytoplasm and
red nucleus. What protozoa are
detected in the smear?
+ Toxoplasma gondii
- Plasmodium malariac
- Cutaneous lieshmania
- Viscerotropic lieshmania
- Trypanosoma
30. Parasitic protozoa are found in the
carious dental cavities of a 29-ycars-
old patient. It is established that they
belong to the Sarcodina class. These
single-celled are:
- Entamoeba histolytica
- Entamoeba coli
+Entamoeba gingivalis
- Amoeba proteus
- Lamblia intestinalis
31. In the study of the contents of the
duodenum, the protozoa of pear-

- Trichomonas tenax.
19. The woman of sixty has heavy
form of paradontosis. At microscopic
research of scrape from gums the
uninuclear protozoans 3-60 jim in size
with wide pseudopodia are revealed.
What protozoans arc revealed at the
patient?
- Toxoplasma gondii;
- Trichomonas tenax;
- Entamoeba histoly'fica;
+ Entamoeba gingivalis;
- Balantidium coli.
20. Protozoans of pear-shaped form 6-
13 pm in body length were found at
microscopy of excretion taken from
gums of the patient with paradontosis.
The parasite had one: nucleus, '— 4A
flagella on the forward end,
undulating membrane. What
protozoans patient were detected al the
? the reason for such pathology?
- balantidium;
- Lcishmania;
- amoeba;
+ trichomonad;
- giardia.
21. 25 % of healthy people and
persons with diseases of oral cavity
have one of species of protozoan on
their gums, in plaque accumulation
and on pharyngeal tonsils. These
protozoans have 6-60 pm in size,
wide pseudopodia, naked body which
is divided into ecto- and endoplasm. It
is considered, that they can cause
some complications at stomatologic
diseases. Specify the type of the
protozoan:
+ Entamoeba gingivalis;
- Amoeba prolcus;
- Entamoeba histolytica:
- Balantidium coli;
- Entamoeba coli.
22. Indisposition is observed at the
patient. It is accompanied by rise in
temperature, weakness. long-term
liquid excrements till 10-12 a day
sharp pain in stomach. Roundness
structures with 4 nuclei arc revealed
during stool examination. It may be
caused by:
- Lcishmania donovani;
+ Entamoeba histolytica;
- Trypanosoma gamdicnsc;
- Entamoeba coli;
- Toxoplasma gondii.
23. There arc two abortions in the
anamnesis of a woman, the third child
is bom with many developmental
anomalies (there arc no upper
extremities, the lower extremities are
underdeveloped, anus is not present).
What protozoan disease can serve as
- trichomoniasis;
- visceral leishmaniosis;
- balantidiasis;
- malaria;
+ toxoplasmosis.
24. Doctors of sanitation and
epidemiological center survey
workers of foodscrvicc sector and
latent parasitosis (when clinically
healthy person is a source of cysts,
which infect other people) is often
revealed. It is possible in case of
parasitizing of:
- cutaneous lcishmania;
- malaria parasite;
- intestinal trichomonad;
+ dysenteric amoeba;
- visceral lcishmania.
-visceral leishmaniasis:
- coccidiosis: ..
- cutaneous leishmaniasis,
- balantidiasis.
12. Parasitic protozoan are detected in
carious teeth cavity. It is established,
lat they belong to subphylum
Sarcodina. These mono-cellular
organisms are.
. Amoeba protcus;
. Entamoeba coli;
- Entamoeba histolytica:
+ Entamoeba gingivalis;
. Lamblia inlcstinalis.
11 -The patient complaints about
headache , pain in left hypochondrium .
Disease has begun sharply with rise in
temperature up to 40°C; lymph nodes
are enlarged. Attacks repeat
rhythmically every 48 hours. Define
die probable activator of the disease:
- activator of quartian malaria:
- leishmania;
+ activator of tertian malaria:
- toxoplasma;
- trypanosome.
14. The half moon shaped protozoans
with sharp ends, blue cytoplasm and
ruby-red nuclei are detected at
bacterioscopic research of
Romanowsky-Giemsa stained spinal
liquid smears. Activator of what
disease can be found?
- malaria;
- amebiasis;
- trypanosomiasis;
+ toxoplasmosis;
- leishmaniosis.
15. The patient has blood excrements
3-10 and more times a day. What
protozoan disease is it?
+ amebiasis;
- leishmaniosis;
- trypanosomiasis;
- trichomoniasis:
- malaria.
16. Sternal bone marrow puncture
was done in a patient in order to
confirm the diagnosis and to find the
activator of Mediterranean visceral
leishmaniasis. What causative agent
could be found in bone marrow
specimens? Give the Latin name:
- Lamblia intcstinalis;
- Leichmania tropica minor;
- Tripanosoma cruzi;
+ Leichmania infantum;
- Leichmania donovani.
17. A patient consulted a doctor with
complaints about pain in stomach,
frequent liquid excrements with
impurity of slime and blood.
Vegetative forms of protozoans 30-40
pm in size, containing a lot of
phagocytosed erythrocytes, were
detected in smears of excrements at
research. What protozoan disease is at
this patient?
- leishmaniosis;
+ amebiasis;
- trichomoniasis;
- lambliosis;
- toxoplasmosis.
18. Protozoan disease, characterized
by brain involving and loss of vision,
is revealed at the person.
Monocellular moon-shaped organisms
with sharp ends are found at blood
test. The activator of this disease is:
- Sarcocystis suihominis;
- Leishmania donovani;
+ Toxoplasma gondii;
- Isospora belli;
 sick children. The symptoms of the disease should be suspected?
disease arc: exhaustion, fever, anemia, - trichomoniasis;
hepatomegaly, and splenomegaly. As - amebiasis;
there are a lot of mosquitoes in this - toxoplasmosis;
country, the children arc likely to he - lambliasis;
sick with: + balantidiasis.
+ visceral leishmaniasis
- balantidiasis
9. A gynaecologist was examining a
- toxoplasmosis
patient and revealed symptoms of
- giardiasis
genital tract inflammation. A smear
- amebiasis
from vagina contained pyriform
protozoa with a spine, flagella al their
6. A woman delivered a dead child
front; there was also an undulating
with multiple developmental defects.
membrane. What disease can be
Wliat protozoan disease might have suspected?
caused the intrauterine death? - intestinal trichomoniasis;
- lambliasis; - lambliasis;
- leishmaniasis; + urogenital trichomoniasis
- malaria; - toxoplasmosis;
- amebiasis; - balantidiasis.
+ toxoplasmosis.
10. The patient addressed to the
7. A lymph node punctate of a patient stomatologist with symptoms of an
with suspected protozoan disease was inflammation in the mouth cavity. In
examined. Examination of the stained smears, taken from the teeth surface
specimen (Romanovsky's stain) and gums, the protozoans with the
revealed some crescent bodies with changeable form of a body, which
pointed end, blue cytoplasm and red changed owing to pseudopodia
nucleus. What protozoans were formation, were revealed. The body
revealed in the smears? size is from 6 up to 30 pm. Specify a
- dcrmotropic lcishmania; type of the protozoan:
- malarial plasmodiums; - intestinal ameba;
+ toxoplasms; + dental ameba;
- visccrotropic lcishmania; - dysenteric ameba;
- trypanosomes. - intestinal trichomonad;
- giardia.
8. A patient working at a pig farm
complains about paroxysmal 11. The inflammation, enlargement of
abdominal pain, liquid feces with lymph nodes, skin ulcers and ulcers of
admixtures of mucus and blood, surrounding tissues are revealed at the
headache. weakness. fever. patient. Microscopic examination of
Examination of large intestine discharge from ulcers has revealed
revealed ulcers from 1 mm up to endocellular forms of flagellates.
several cm large, feces contained oval What disease may be at the patient?
unicellular organisms with cilia. What - toxoplasmosis;
 - balantidium;
- trichomonas;
- lamblia.

2. Parents with ill child came to the

infectiologist. They worked in one of
the Asian countries for a long time.
Child has earthy colored skin, loss of
appetite, laxity, enlarged liver , spleen
peripheral glands. What protozoan
illness is possible in this child?
- amebiasis;
- balantidiasis;
+ visceral leishmaniasis;
- toxoplasmosis;
- Lambliasis.

3. A patient has symptoms of

inflammation of urogenital tract.
Examination of a vaginal smear revealed big
monocellular, pear-shaped organisms with
the pointed spike at the posterior end of the
body, big nucleus and undulating membrane.
What protozoa were found in the smear?
- Trichomonas buccalis;
- Trichomonas hominis;
+ Trichomonas vaginalis;
- Trypanosoma gambicnse;
- Lamblia intestinales.

4. MEDICAL PROTOZOOLOGY
4. A patient has typical symptoms of
1. Patients with similar complaints malaria; wasting fever, exhaustion.
applied to the doctor: weakness, pain These attacks repeat after certain
in the intestines, and disorder of GIT. intervals of time. What stage of
Examination of the faeces revealed Plasmodium is in the patient's blood?
- Ookinete
that one patient with four nucleus
- Oocysts
cysts should be hospitalized
immediately. For what protozoa arc - Sporozoites
such cysts typical? - Sporocysts
- intestinal amoeba; + Merozoites
+ dysenteric amoeba;
5. A doctor is staying in one of Asian
countries taking care of 10-year-old