CHAPTER 6: SELECT PROTOZOA (PLASMODIUM & BABESIA)

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The infective stage of Plasmodium is (are) the:
A. Merozoites
B. Oocyst C
C. Sporozoites
D. Gametocytes
The best time to collect blood for Plasmodium parasites is:
A. Between paroxysms
B. During paroxysms A
C. Morning
D. Evening
A paroxysm is:
A. An allergic reaction
B. A periodic episode characterized by fever, chills, sweats, and
C
fatigue
C. Both A and B are correct.
D. None of the above
Which morphologic characteristic may help in distinguishing P.
vivax from P. falciparum?
A. Hemozoin
B
B. Schüffner's dots
C. 72-hour paroxysm
D. None of the above
P. vivax characteristically invades:
A. Immature RBCs
B. Senescent RBCs A
C. All RBCs
D. Lymphocytes
The incubation period for P. vivax is generally:
A. 6 to 8 days
B. 7 to 10 days B
C. 12 to 24 days
D. 10 to 17 days
Which morphologic form would be the best choice for distinguish-
ing between P. vivax and P. ovale?
A. Mature schizont
A
B. Ring form
C. Early trophozoite
D. Immature schizont
In which geographic regions would the laboratorian most likely
suspect P. ovale as the infecting agent?
A. Tropical Africa
D
B. Asia
C. South America
D. All of the above
Which of the following is considered an antimalarial medication?
A. Amoxicillin
B. Erythromycin C
C. Chloroquine
D. Dicyclomine
Which morphologic form is not typically seen in infections of P.
malariae?
A. Mature schizont
B
B. Ring form
C. Immature schizont
D. Macrogametocyte

Which of the following are morphologic features of P. malariae?

A. Schüffner's dots B
B. Ziemann's dots
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 CHAPTER 6: SELECT PROTOZOA (PLASMODIUM & BABESIA)
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C. Maurer's dots
D. None of the above
Which of the following is not a prevention and control measure for
malaria?
A. Wearing the hair up
B. Following prophylactic therapy when traveling to malariaen- A
demic areas
C. Bed netting
D. Proper clothing, such as longsleeved shirt and long pants
What age of red blood cell does P. falciparum typically invade?
A. Mature red blood cells
B. Immature red blood cells C
C. All red blood cells, regardless of age
D. Does not invade red blood cells
P. falciparum is commonly found in the United States.
A. True B
B. False
Black water fever can be described by which of the following:
A. Marked hemoglobinuria .
B. Kidney involvement in P. falciparum infections D
C. Caused by P. falciparum- induced red blood cell destruction
D. All of the above
Humans are an accidental host of Babesia species.
A. True A
B. False
The specimen of choice for the recovery of Babesia is:
A. Tissue
B. Cerebral spinal fluid (CSF) D
C. Stool
D. Blood
Babesiosis is characterized by all the following except:
A. Trophozoites resembling the ring form seen in Plasmodium
infections
B
B. A mild to severe hemolytic anemia
C. Fever periodicity
D. None of the above
Which of the following are laboratory diagnostic procedures is
recommended for specifically identifying T. microti?
A. Thick and thin blood films
B. Serologic testing D
C. PCR techniques
D. Both B and C are correct.
E. None of the above
Which of the following is not a location known for infection by T.
microti?
A. California
A
B. North Carolina
C. Mexico
D. Nantucket
For which patient would babesiosis be more severe?
A. The splenectomized
B. The patient with Babesia divergens D
C. Older adults
D. All of the above
The infective stage of the Plasmodium parasite and the Babesia
parasite for humans is the:
D
A. Merozoite
B. Trophozoite
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C. Gametocyte
D. Sporozoite
What is the name of the dormant parasite form found in patients
with Plasmodium ovale and Plasmodium vivax infections?
A. Trophozoites
C
B. Sporozoites
C. Hypnozoites
D. Gametocytes
The species of mosquito most commonly known to serve as a
vector for the genus Plasmodium is:
A. Ixodes
B
B. Anopheles
C. Culex
D. Glossina
Which of the following is a self-limiting infection characterized by
a gradual onset of headache, chills, sweating, and fatigue that
demonstrates no periodicity?
A. Ehrlichia phagocytophila B
B. Babesia microti
C. Plasmodium vivax
D. Plasmodium ovale
Giemsa-stained blood smears demonstrate normal-sized red
blood cells containing ring form trophozoites in pairs and tetrads,
without pigment or stippling. Which parasite listed best fits this
description?
A
A. Babesia divergens
B. Plasmodium falciparum
C. Plasmodium vivax
D. Plasmodium malariae
Sexual reproduction of Babesia species takes place in the:
A. Human gut
B. Red blood cells C
C. Tick
D. Parenchymal cells of the liver
Which species of Plasmodium is characterized by a rosette
arrangement of merozoites and the presence of Schüffner's dots
in the red blood cells?
A. Plasmodium vivax B
B. Plasmodium ovale
C. Plasmodium falciparum
D. Plasmodium malariae
Babesia spp. undergo an exoerythrocytic cycle.
A. True B
B. False
Ziemann's dots, band form trophozoites, and 72-hour periodicity
of paroxysms is indicative of infection with which Plasmodium
species?
A. Plasmodium vivax D
B. Plasmodium ovale
C. Plasmodium falciparum
D. Plasmodium malariae
Which of the following would be an advised drug therapy for an
uncomplicated case of babesiosis?
A. Clindamycin-quinine
A
B. Atovaquone-proguanil
C. Penicillin-aspirin
D. Erythromycin-chloroquine

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