Para quiz 6

1. Specific Parasite is
a) The parasite which affects only one host
b) The parasite which infect an unusual host
c) The parasite, during its migration in the host , reaches a site where it can not
live or develop further
d) Non-human parasite or its stages which have been swallowed and pass out,
with stool, without harm to the host.
e) The parasite which causes mild clinical manifestations in immuno-competent
healthy individual and sever disease in immuno-compromized patient

2. The diagnostic stage of Ascaris lumbercoides is

a) Immature egg
b) Larvated egg
c) Rhabditiform larva
d) Filariform larva
e) Microfilaria

3. One patient complained from vomiting a worm, its length 50 cm, Long
cylindrical with tapering ends, yellowish creamy in colour, with straight
posterior end, oesophagus club-shaped, two sets of genitalia, and vulva at the
junction of anterior and middle thirds of the body ventrally. This a probable
infection with
a) Echinococcus granulosus
b) Ascaris lumbercoides
c) Taenia saginata
d) Taenia solium
e) Trichocephalus trichura

4. Perianal swabbing is used to diagnose

a) Enterobius vermicularis
b) Ascaris lumbercoides
c) Brugia malayei
d) Loa loa
e) Trichocephalus trichura

5. A patient complaining from rectal prolapse, on examining the rectum:

multiple worms was found embedded in the mucosa with a protruding part in
the lumen. This infection most probable due to
a) Enterobius vermicularis
b) Ascaris lumbercoides
c) Brugia malayei
d) Loa loa
e) Trichocephalus trichura
6. The characteristic Trichocephalus trichura eggs are:
a. broadly oval, measuring 60x40μ and in the 4-8 cell stage when discharged in stool
b. barrel shaped, measuring 50x25μ with a plug at each pole and one cell
embryonated when discharged from stool
c. planoconvex, measuring 55x25μ and fully embryonated when discharged from
stool
d. Oval with one pole rounded and the other pointed, immature embyro in morula
state
e. subspherical, thick shell, regular albuminous mammilation, immature embryo

7. Microcystic hypochromic anaemia is common in the infection of

a) Ascaris lumbercoides
b) Brugia malayei
c) Necator americanus
d) Diphyllobothrium latum
e) Dipylidium caninum

In the course of Ancylostoma duodenale diagnosis, stool culture may be used .8

which necessitates strict safety measure because we are dealing with ….. which is
.the infective stage
a) Immature egg
b) Mature larvated egg
c) Rhabditiform larva
d) Filariform larva
e) Adult female

A patient complaining of jaundice, upon ultrasonography: there was a solitary .9

mass. On liver biopsy, it was found a nematode larva. This is a probable
infection of
a) Ascaris lumbercoides
b) Brugia malayei
c) Necator americanus
d) Toxocara canis
e) Dipylidium caninum

10. In Wuchereria bancrofti , to take a diagnostic peripheral blood sample, it

must be taken at
a) Night 10 pm-2 am
b) Night 8 pm – 4 am
c) Day maximum at Noon
d) Sun set
A patient complaining unilateral upper limb oedema and enlargemet of one .11
breast on the same side. On examination a peripheral blood film, it was found
that a sheet of nuclei with a sheath and anterior end is free of nuclei, while
posterior end has 2 nuclei this is a characteristic to infection with
a) Wuchereria bancrofti
b) Loa loa
c) Mansonella ozzardi.
d) Brugia malayei
e) Mansonella perstans

12. Skin snip is used to diagnose

a) Wuchereria bancrofti
b) Loa loa
c) Mansonella ozzardi.
d) Onchocerca volvulus
e) Mansonella perstans

13. The diagnostic stage for Wuchereria bancrofti is

a) Immature egg
b) Mature egg
c) Microfilaria
d) Rhabditiform larva
e) Filariform larva

14. The habitat for adult Brugia malayei is

a) Small intestine
b) Liver
c) Serous cavities
d) Skin and subcutaneous tissue
e) Lymphatic system

15. The infective stage for Mansonella ozzardi to human

a) Immature egg
b) Mature egg
c) Microfilaria
d) Rhabditiform larva
e) Filariform larva

16. An immegrant complaining from passing a segment from anus with

defecation, on examination with a hand lens it was found that it broader than
long, common genital pore ventral, uterus is rosette-shaped with a separate pore
behind he common genital pore, this is characteristic to infection with
a) Echinococcus granulosus
b) Diphyllobothrium latum
c) Taenia saginata
d) Taenia solium
e) Trichocephalus trichura
17. A patient had a boil in his face and had applied frogs tissues as poultices to
the inflamed tissue, a week after, it enlarged in size and then he came to a
doctor who remove a white solid wormfrom it, few cms in length with
invaginated scolex at one end and pseudostriation. This is a probable infection
with
a) Echinococcus granulosus
b) Diphyllobothrium latum
c) Diphyllobothrium mansoni
d) Taenia solium
e) Trichocephalus trichura

18. The habitat for adult Dipylidium caninum is

a) Small intestine
b) Large intestine
c) Liver
d) Kidney
e) skin

19. Stool examination has no significance in diagnosing hydatid disease because

a) Adult inhabits lung parenchyma
b) Adult inhabits small intestine of dogs
c) Eggs deposited in perianal area of human
d) Secondary bacterial infection
e) Females die before oviposition

20. A child complaining of abdominal pain and diarrhea, on stool examination, a

spherical egg was found with 2 polar thickenings, from each projects 4-8
filaments, this most probably belong to
a) Hymenolepis nana
b) Brugia malayei
c) Taenia solium
d) Echinococcus granulosus
e) Dipylidium caninum

21. The diagnostic stage for Heterophyes heterophyes is

a) Egg
b) Miracidium
c) Sporocyst
d) Redia
e) Cercaria

22. An immigrant from Egypt complaining from haematuria, on urine

examination a non operculated egg with terminal spine was found, this is
characteristic to infection with
a) Paragonimus westermanii
b) Schistosoma haematobium
c) Schistosoma mansoni
d) Faciola gigantica
e) Fasiolopsis buski
f)
23. An immigrant from Far East complaining from haemoptysis, on sputum
examination an operculated egg with immature embryo was found, this is
characteristic to infection with
a) Paragonimus westermanii
b) Schistosoma japonicum
c) Schistosoma mansoni
d) Faciola gigantica
e) Fasiolopsis buski

24. The habitat for Schistosoma japonicum is

a) Small intestine
b) Large intestine
c) Liver
d) Blood
e) Lung

25. A patient complaining of chronic progressive encephalitis, on brain biopsy, a

irregular shaped parasite with a small spiky-pseudopodia and large central
karyosome in the nucleus, this probably an infection with
a) Entamoeba histolytica
b) Naegleria fowleri
c) Trichomonas vaginalis
d) Giardia intestinalis
e) Acanthamoeba spp

26. A patient complaining from paroxysm of hotness, coldness and sweating

recurring every 24 hours, on examination of a blood film, multiple small rings in
each RBC, and large cresents with compact nuclei and basophilic cytoplasm was
found, this is a characteristic feature of
a) Plasmodium vivax
b) Plasmodium ovale
c) Plasmodium malarie
d) Plasmodium falciparum
e) Plasmodium berghei

27. The infective stage of malaria for human is

a) Trophozoite
b) Sporozoite
c) Schizont
d) Gametocyte
e) Gametes
28. An immigrant from Africa, complaining from somnolence and was diagnosed
as diffuse meningoencephalitis, on culturing his CSF on NNN media an
epimastigote was found, this is most probable due to
a) Chagas disease
b) Malignant malaria
c) African trypanosomiasis
d) Kala azar
e) Oriental sore

29. A suspected case of Leishmania donovani, on spleen aspirate the diagnostic

stage is
a) Amatigote
b) Promastigote
c) Epimastigote
d) Trypomastigote
e) Metacyclic form

30. Xenodiagnosis used in diagnosing

a) Trypanosoma gambiense
b) Trypanosoma rhodiesense
c) Trypanosoma cruzi
d) Leishmania donovani
e) Leishmania tropica