1.

The infective form of schistosomes to humans is:

a) Schistosome egg
b) Schistosomulum
c) Cercaria
d) Adult worm
e) None of the above

2. What is the usual life span of an adult schistosome worm?

a) 4 years ; infact 3-4yrs
b) 10 years
c) 8 years
d) 2 months
e) None of the above

3. Spatial paraparesis may occur due to which infection?

a) Schistosoma japonicum
b) Onchocerciasis volvulus
c) Schistosoma mekongi
d) Entamoeba histolytica
e) Schistosoma mansoni ; even s.h….these casuse ectopic localization in spinal cord.

4. Rectal schistosomiasis is caused by which parasite?

a) Schistosoma mansoni
b) Schistosoma intercalatum; it also causes pseudopolyps and dysentery.
c) Schistosoma haematobium
d) Schistosoma matheei
e) Schistosoma bovis

5. The first drug ever used to treat schistosomiasis was:

a) Oxamniquine
b) Metrifonate
c) Praziquantel
d) Tartar emetic
e) Niridazole

6. Rectal biopsy (rectal snip) followed by microscopy is best suited for the diagnosis of
which species of schistosome?
a) Schistosoma haematobium
b) Schistosoma mansoni; and aslso microscopy shows lateral spine.
c) Schistosoma japonicum
d) Schistosoma bovis
e) Schistosoma matheei

7. Which is the vector for onchocerciasis in most regions of Africa other than East Africa?
a) Simulium neavei complex; specific to east africa
b) Simulium metallicum complex; specific to central america
c) Simulium damnosum complex
d) Simulium palpalis complex
e) Simulium dermis complex

8. In the laboratory diagnosis of onchocerciasis what is the proportion of microfilariae that

emerge from a skin biopsy submerged in normal saline for 30 minutes?
a) 100%
b) 50%
c) 45%
d) 30%
e) None of the above; its 60% in 30mins and 75% in 24hrs.

9. Which one of the following is a true macrofilaricidal drug for onchocerciasis?

a) Ivermectin ; is microfilm but is drug of choice…
b) Diethyl Carbamazine ; is also microfiliri….
c) Suramin
d) Metronidazole
e) Primaquine

10. Before treating a case of onchocerciasis with Ivermectin which co-infection should be
ruled out?
a) Leishmaniasis
b) Loiasis …causes death due to encephalopathy.
c) Schistosomiasis
d) Amoebiasis
e) Dracunculiasis

11. Which soil conditions are ideal for Ascaris lumbricoides eggs survival and development?
a) sandy and cool
b) Warm and dry
c) Warm and moist
d) Sandy and moist
e) None of the above

12. In which part of the body do the larvae of Ascaris lumbricoides mature into adults?
a) Stomach
b) Jejunum
c) Duodenum
d) Colon
e) Peritoneum

13. Which one of the following is FALSE about Ascaris lumbricoides?

a) It has an animal reservoir.
b) It has no animal reservoir
c) It may cause Loeffler’s syndrome
d) Lung passage takes 10 days….
e) Egg development requires 20 days in the soil
14. Which one of the following is TRUE about Ascariasis?
a) Always causes malnutrition in children
b) Serious complications are rare
c) Charcot-leyden crystals may be present in blood… no in sputum
d) most cases are symptomatic…no asymptomatic
e) Autoinfection is possible…..no cause of 10-140 days infective period

15. Which worm infection causes “Ground itch”?

a) Strongyloides stercoralis
b) Human Hookworm
c) Ancylostoma braziliense
d) Enterobium vermicularis
e) Dracunculus medinensis

16. The current drug of choice for all forms of Leishmaniasis is:
a) Sodium stibogluconate
b) Amphotericin B Deoxycholate
c) Meglumine antimonate
d) Liposome-encapsulated and Lipid associated Amphotericine B
e) Niclosamide

17. Approximately how much blood does a single Necator americanus adult worm suck from
a human host in a day?
a) 10 μl
b) 50 μl
c) 100 μl
d) 5 μl
e) 30 μl, for A.D is 260 ul.

18. Which of the following drug(s) may be used to treat Larva Currens?
a) Ivermectin, …for strongyloides
b) Mebendazole
c) Albendazole
d) Thiabendazole
e) All of the above
19. Which is the infective form of Taenia saginata Taeniasis?
a) Egg
b) Adult worm
c) Larva taenia
d) Filariform larva….aka L3
e) Rhabditiform larva

20. Which worm is referred to as the “Dog tapeworm”?

a) Dirofilaria spp
b) Loa loa
c) Taenia saginata
d) Echinococcus granulosus…Echinococcus multicularis(fox tape worm)
e) Mansonella perstans