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Parasitology questions and answers
1. PARASITOLOGY MCQS
DCM CLASS 2016
Questions and Answers
1.
A 42-year-old pt with AIDS presents to your office with chronic, intractable,
debilitating diarrhea. He says it began not long after returning from a camping
trip. He admits to drinking water from a stream without using a filter or boiling it.
You perform a GSA(Giardia Stool Antigen) test which comes back negative.
What is his likely diagnosis?
Discuss
o A.
Amebiasis
o B.
Giardia
o C.
Cryptosporidium Parvum
o D.
P. Falciparum
o E.
Leishmaniasis
2.
What is the primary cause of Amebiasis?
o A.
T. Gondii
o B.
2. Entamoeba Histolytica
o C.
P. Carinii
o D.
D. Latum
o E.
None of the Above
3.
A 24-year-old male pt presents to your office with a fever, head ache, and
lethargy. He has recently returned from a medical mission, which placed him in
many underserved African villages. Your physical exam confirms the fever and
also reveals significant lymphadenopathy. His girlfriend states she has noticed
increased irritability over the past few days. Given the symptoms and history,
what is the most likely diagnosis?
Discuss
o A.
American Trypanosomiasis
o B.
Sleeping Sickness
o C.
Malaria
o D.
Toxoplasmosis
o E.
Orchitis
4.
3. The process by which uninfected bugs are allowed to feed on a pts blood, then
the gut contents are examined for parasites 4-6 weeks later is called
____________.
Discuss
o A.
Xenodiagnosis
o B.
SPI (Secondary Parasitic Identification)
o C.
NIPLE (Non-Invasive Parasitic Larvae Examination)
o D.
Parasitic Host-Typing
o E.
Goodfellow's Test
5.
Which of the following is true of Malaria?
Discuss
o A.
Old men and young children do not get Malaria.
o B.
You get it from eating undercooked fish.
o C.
It is strongly linked to Amoeba Naegleri Fowleri.
o D.
Must seek CDC involvement in the diagnosis, treatment, and management of Malaria.
4. o E.
It is caused by swimming in warm, fresh water.
Questions and Answers
1.
You find these worms on the fecal of an 8 week old puppy. Which de-wormer
should you use to treat him?
Discuss
o A.
Pyrantel
o B.
Fenbendazole
o C.
Ponazuril
5. o D.
Milbemycine oxime
2.
Your client wants to start breeding Chischnachsunds because "They are so cute
and tiny! And I will be rich!". She wants to make sure the puppies are born worm
free, which wormer would you prescribe?
o A.
Pyrantel
o B.
Ponazuril
o C.
Ivermectin
o D.
Fenbendazole
o E.
Febantel
3.
6. On your way to work you notice this in your yard. Besides more conscientious
owners, what does this dog need?
o A.
Fipronil
o B.
Fenbendazole
o C.
Praziquantel
o D.
Ivermectin
4.
7. These worms can be treated with pyrantel.
o A.
True
o B.
False
5.
Fenbendazole treats which parasites?
Discuss
o A.
Ascarids
o B.
8. Strongyles
o C.
Whipworms
o D.
Diplyidium caninum
o E.
Taenia pisiformis
o F.
Giardia
6.
Ponazuril is a coccidiostatic medication
o A.
True
o B.
False
7.
You find this parasite in the fecal of a dog. Which treatment should you use?
o A.
9. Ponazuril
o B.
Febantel
o C.
Ivermectin
o D.
Nothing because this is a psuedoparasite.
o E.
Amprolium
8.
Sulfonamides are coccidiostats that can be used in dogs.
o A.
True
o B.
False
9.
Melarsomine is used to treat what parasite?
o A.
Heartworm microfilariae
o B.
Adult heartworms
o C.
Whipworms
o D.
10. Ascarids
10.
Feline heartworm infection can be treated with melarsomine.
o A.
True
o B.
False
11.
Doxycyline is used as an adjunct heartworm therapy because:
o A.
It kills microfilariae
o B.
It damages the tegument of adult worms
o C.
It kills the commensal bacteria Wolbachia
o D.
It lessens negative side effects of arsenical treatment
12.
Cats can develop HARD syndrome when infected with heartworms. This
acronym stands for _______ ________ _________ ________.
13.
The heartworm infection rate of cats is what percentage that of dogs?
o A.
80%
11. o B.
60%
o C.
5%
o D.
10%
o E.
2%
14.
This wombat was likely diagnosed using which method?
o A.
PCR
o B.
Skin scrape
o C.
Scotch Tape Test
o D.
12. Culture
15.
______ ___________, also known as frounce, is a disease of pigeons and birds
of prey. It forms cheesy plaques on muscosal surfaces in the mouth, esophagus
and crop.
16.
Your cousin won a goldfish at the state fair and wants to put it in your prized
African cichlid tank. This would not be a good idea because it is likely infected
with:
o A.
Nothing, its just that goldfish do not represent the same socioeconomic bracket as
cichlids.
o B.
Ichthyopthirius multifiliis
o C.
Neoricketsia salmincola
o D.
Dropsy
17.
Toxoplasma gondii does not infect birds
Discuss
o A.
True
o B.
False
18.
This parasite makes it a bad idea to eat raw or undercooked fish
13. o A.
Anisakis
o B.
Cryptosporidium
o C.
Heterakis meleagridis
o D.
Fugu
19.
Pork is the number one meat in the USA that contains Trichinella
o A.
True
o B.
False
20.
This rabbit probably is infested with _________ _________.
14. 21.
The only reason a client could be immunocompromised is because of HIV/AIDS
infection.
o A.
True
o B.
False
22.
A pregnant woman can become infected with T. gondii by which of the
following?
Discuss
o A.
Cuddling with her cat
o B.
Eating undercooked meat
o C.
Gardening without gloves and putting hands in her mouth
o D.
Eating unwashed fruits of veggies
o E.
Drinking contaminated water
o F.
Changing the litter box with gloves on
23.
Clinical toxoplasmosis is fairly common
15. Discuss
o A.
True
o B.
False
24.
Most animal strains of Giardia are zoonotic
o A.
True
o B.
False
25.
Jurassic Park is no longer just science fiction. You are the very first veterinarian
ever to perform a fecal on a triceratops, how lucky! You find this parasite on the
fecal and decide the best drug to use would be:
16. o A.
Ivermectin
o B.
Moxidectin
o C.
Milbemycin
o D.
Fenbendazole
26.
Composting dog feces will kill any viable eggs.
o A.
True
o B.
False
27.
Starting refugia is a new goal of parasite control in large animals
o A.
True
o B.
False
28.
There are a variety of ways to control parasites in large animals, without
constant deworming. These include:
o A.
Culling infected animals
17. o B.
Rotational grazing
o C.
Prescribed pasture burns
o D.
Tillage
o E.
Removal of feces
o F.
Spraying insecticides on pasture
29.
Co-grazing mixed species reduces parasite load due to the ________ _____.
30.
18.
19. It would be perfectly ok to treat the animal this parasite was found in with a 5x
dosage of Praziquantel for two days.
o A.
True
o B.
False
31.
Humans can get scabies from their dogs.
o A.
True
o B.
False
1.
It is the largest roundworm.
Discuss
o A.
Enterobius vermicularis
o B.
Ascaris lumbricoides
o C.
Strongyloides stercoralis
o D.
Ancylostoma duodenale
2.
Which of the following is not a pathophysiology of A. lumbricoides?
20. o A.
Ascariasis
o B.
Roundworm infection
o C.
Loeffler's Syndrome
o D.
Cochin China Disease
3.
It is associated with Rectal Prolapse and Peristalsis.
o A.
Entobius vermicularis
o B.
Trichuris trichiura
o C.
Ascaris lumbricoides
o D.
None of the above
4.
It resembles a pencil lead thickness.
o A.
Male Ascaris lumbricodes
o B.
Fertilized egg of Ascaris lumbricodes
21. o C.
Unfertilized egg of Ascaris lumbricodes
o D.
Female Ascaris lumbricodes
5.
It is a secretory product of the egg and it is chitinous.
o A.
Chorionic Shell
o B.
Vitelline membrane
o C.
True shell
o D.
Both a and c
6.
It is a tubular or funnel-shaped for sucking purposes.
o A.
Esophagus
o B.
Buccal cavity
o C.
Mouth
o D.
Anus
22. 7.
It is the outermost layer of an ovum and has a tanning action.
o A.
Albuminous layer
o B.
Vitelline Membrane
o C.
Chitin
o D.
True shell
8.
An esophageal type that is long, tube-like muscled cells.
o A.
Rhabditis type
o B.
Stichosome type
o C.
Filarial type
o D.
Both a and c
9.
It is a thin needle-like that injects spermatozoa through the seminal vesicle.
o A.
Copulatory spicules
23. o B.
Copulatory bursa
o C.
Both a and b
o D.
None of the above
10.
It is a muscular tube that pumps food posteriorly.
o A.
Esophagus
o B.
Buccal Cavity
o C.
Mouth
o D.
Intestine
11.
It is used for grasping female nematode during copulation.
o A.
Copulatory spicules
o B.
Copualtory bursa
o C.
Both a and b
24. o D.
None of the above
12.
It is firmed immediately after sperm penetration. A waxy, colorless lipoidal in nature.
o A.
Vitelline membrane
o B.
Fertilization membrane
o C.
Both a and b
o D.
True layer
13.
It is an esophageal type made up of chain of basophilic granular myocytes.
o A.
Filarial type
o B.
Rhabditis type
o C.
Stichosome type
o D.
None of the above
14.
Classification of female adult wherein ova is released.
25. o A.
Oviparous
o B.
Viviparous
o C.
Pathenogenic
o D.
None of the above
15.
Classification of female adult wherein larva is released.
o A.
Parthenogenic
o B.
Viviparous
o C.
Larviparous
o D.
All, except a
16.
Classification of female adult wherein it can produce viable eggs without being fertilized
by the male worms.
o A.
Parthenogenic
o B.
Viviparous
26. o C.
Larviparous
o D.
Oviparous
17.
Match the following nematodes according to esophageal types.
o A. Filarial type
o A.
Select a Match
o B. Rhabditis type
o B.
Select a Match
o C. Stichosome type
o C.
Select a Match
18.
Match the following nematodes according to classification of Female Adult.
o A. Oviparous
o A.
Select a Match
o B. Viviparous
o B.
Select a Match
o C. Parthenogenic
o C.
Select a Match
19.
Choose the following that lives in the Large Intestine
o A.
Trichuris trichiura
o B.
Ascaris lumbricoides
o C.
Hookworms
o D.
27. Enterobius vermicularis
o E.
Capillaria philippinensis
20.
Choose the nematodes that inhabit the Small Intestine
o A.
Ascaris lumbricoides
o B.
Capillaria philippinensis
o C.
Trichuris trichiura
o D.
Enterobius vermicularis
o E.
Hookworms
o F.
Strongyloides stercoralis
21.
Match the following nematodes with their common names.
o A. Ascaris lumbricoides
o A.
Select a Match
o B. Ancylostoma duodenale
o B.
Select a Match
o C. Necator americanus
o C.
Select a Match
o D. Trichinella spiralis
o D.
Select a Match
o E. Trichuris trichiura
28. o E.
Select a Match
o F. Enterobius vermicularis
o F.
Select a Match
o G. Strongyloides stercoralis
o G.
Select a Match
o H. Capillaria philippinensis
o H.
Select a Match
22.
Which of the following is the Direct Transmission of Strongyloides stercoralis?
o A.
Rhabditiform -> Larva -> Feces -> Filariform in environment
o B.
Rhabditiform -> Free-living State
o C.
Rhabditiform -> (Free-living) Filariform
o D.
None of the above
23.
It has a characteristic of creamy white color with pink tint.
o A.
Strongyloides stercoralis
o B.
Trichinella spiralis
o C.
Ascaris lumbricoides
o D.
Trichuris trichiura
29. 24.
It is associated with Microcytic Hypochronic Anemia.
o A.
Necator americanus
o B.
Ancylostoma duodenale
o C.
Strongyloides stercoralis
o D.
Both a and b
25.
The egg of this nematode is Letter "D" or loopsided.
o A.
Ascaris lumbricoides
o B.
Trichuris trichiura
o C.
Capillaria philippinensis
o D.
Enterobius vermicularis
26.
Most preferred laboratory diagnosis of Enterobius vermicularis.
o A.
ELISA
30. o B.
Direct Fecal Smear
o C.
Cellophane tape preparation
o D.
Knott Technique
27.
It is associated with ulcerative colitis.
o A.
Trichuris trichiura
o B.
Ascaris lumbricoides
o C.
Trichinella spiralis
o D.
Dracunculus medinensis
28.
Which of the following is not associated with Strongyloides stercoralis?
o A.
Cutaneous larval migrans
o B.
Cochin china disease
o C.
Strongyloidiasis
31. o D.
Urticaria
29.
Which of the following is not a treatment of choice in treating nematodes?
o A.
Albendazole
o B.
Mebendazole
o C.
Pyrantel pamoate
o D.
Doxycycline
30.
It is a characteristic of an ova of Capillaria philippinensis.
o A.
Chinese letter palisade
o B.
D shape
o C.
Peanut shaped
o D.
Japanese lantern
31.
Nematode that inhibits striated muscles
32. o A.
Trichina worm
o B.
Pudoc worm
o C.
Threadworm
o D.
Dracunculus medinensis
32.
Nematode that inhibits the subcutaneous tissue.
o A.
Pinworm
o B.
Fiery serpent worm
o C.
Guinea worm
o D.
Both b and c
33.
It is acquired through the ingestion of undercooked contaminated meat (striated muslce).
o A.
Trichina worm
o B.
Pudoc worm
33. o C.
Threadworm
o D.
Guinea worm
34.
Match the following with the characteristics of their tail.
o A. Male E. vermicularis
o A.
Select a Match
o B. Male A. lumbricoides
o B.
Select a Match
o C. Filariform Larvae of S. stercoralis
o C.
Select a Match
35.
It causes oxyuriasis.
o A.
Enterobius vermicularis
o B.
Trichuris trichiura
o C.
Ascaris lumbricoides
o D.
Hookworms
36.
It is acquired through the ingestion of contaminated water containing copepods with L3
Larvae.
o A.
Dracunculus medinensis
34. o B.
Guinea worm
o C.
Fiery serpent worm
o D.
All of the above
37.
It is an intermediate host of Capillaria philippinensis.
o A.
Brackish water fish
o B.
Humans
o C.
Migratory Birds
o D.
Copepods
38.
It causes the mystery disease.
o A.
Capillaria philippinensis
o B.
Trichinella spiralis
o C.
Dracunculus medinensis
35. o D.
Strongyloides stercoralis
39.
It is the method of choice for recovering encysted larva of T. spiralis.
o A.
Blood
o B.
Stool
o C.
Muscle biopsy
o D.
Urine
40.
They are the natural host of C. philippinensis.
o A.
Brackish water fish
o B.
Humans
o C.
Migratory fish-eating birds
o D.
None of the above
41.
These are the morphologic forms of Filariae.
36. o A.
Adult worms
o B.
Microfilariae
o C.
Ova
o D.
Both a and b
42.
It is a transparent covering of filarial worms.
o A.
Sheath
o B.
Chitin
o C.
Albuminous layer
o D.
True Shell
43.
Filariae doesn't have male and female forms.
o A.
True
o B.
False
37. 44.
The ideal time of nocturnal periodicity.
o A.
10 am - 2 pm
o B.
9 am - 4 pm
o C.
9 pm - 4 am
o D.
2 pm - 10 am
45.
It is the ideal time of diurnal periodicity.
o A.
10 am - 2 pm
o B.
9 am - 4 pm
o C.
9 pm - 4 am
o D.
2 pm - 10 am
46.
It is a method used to detect microfilariae.
o A.
Giemsa stain
38. o B.
Nucleopore filter
o C.
Biopsy
o D.
Knott technique
47.
It is the mode of transmission of Wuchereria bancrofti and Brugia malayi.
o A.
Mosquito bite
o B.
Fly bite
48.
Which of the following is the intermediate host of Loa loa?
o A.
Simulium
o B.
Chrysops fly
o C.
Black fly
o D.
Both a and c
49.
Which of the following does not belong to the group? (W. bancrofti)
39. o A.
Anopheles
o B.
Mansonia
o C.
Culex
o D.
Aedes
50.
Which of the following is the unique intermediate host of B. malayi?
o A.
Anopheles
o B.
Mansonia
o C.
Aedes
o D.
Culex
51.
Which of the following is the intermediate host of Mansonella spp?
o A.
Anopheles
o B.
Aedes
40. o C.
Chrysops
o D.
Culicoides
52.
It possesses a sheath wiith two distinct nuclei at the tip (tail).
o A.
Wuchereria bancrofti
o B.
Loa loa
o C.
Brugia malayi
o D.
Onchocerca volvulus
53.
Sheathed with numerous nuclei on the body but free of nuclei at the posterior end.
o A.
Mansonella ozzardi
o B.
Brugia malayi
o C.
Onchocerca volvulus
o D.
Wuchereria bancrofti
41. 54.
Which of the following is sheathed with distinct abundance of nuclei from the head to
pointed tail?
o A.
Wuchereria bancrofti
o B.
Loa loa
o C.
Brugia malayi
o D.
Mansonella perstans
55.
Which of the following filarial worms has a distinct presence of nuclei but does not
extend to the tail and do not possesses a sheath?
o A.
Onchocerca volvulus
o B.
Loa loa
o C.
Brugia malayi
o D.
Wuchereria bancrofti
56.
Which of the following is associated with Calabar swelling?
o A.
42. Loa loa
o B.
Mansonella perstans
o C.
Brugia malayi
o D.
Both a and b
57.
Which of the following is associated with elephantiasis?
o A.
Wuchereria bancrofti
o B.
Brugia malayi
o C.
All of the above
o D.
None of the above
58.
It is the specimen of choice for the identification of Onchocerca volvulus.
o A.
Muscle biopsy
o B.
Blood
o C.
43. Skin snips
o D.
Stool
59.
It is the causative agent of River Blindness.
o A.
Brugia malayi
o B.
Loa loa
o C.
Onchocerca volvulus
o D.
Manzonella perstans
60.
It is the causative agent of urticaria, lymphadenitis and arthialgias.
o A.
Mansonella perstans
o B.
Onchocerca volvulus
o C.
Loa loa
o D.
Mansonella ozzardi
61.
44. Match the following Filarial Worms with their common name.
o A. Wuchereria bancrofti
o A.
Select a Match
o B. Brugia malayi
o B.
Select a Match
o C. Loa loa
o C.
Select a Match
o D. Onchocerca volvulus
o D.
Select a Match
o E. Mansonella ozzardi
o E.
Select a Match
o F. Mansonella perstans
o F.
Select a Match
62.
Match the following nematodes with their corresponding OVA measurements. (From
Zeibig)
o A. Strongyloides stercoralis
o A.
Select a Match
o B. Ancylostoma duodenale
o B.
Select a Match
o C. Necator americanus
o C.
Select a Match
o D. Ascaris lumbricoides
o D.
Select a Match
o E. Enterobius vermicularis
o E.
Select a Match
o F. Trichuris trichiura
o F.
Select a Match
63.
Match the following nematodes with their corresponding adult or larval measurements.
(From Zeibig)
o A. Enterobius vermicualris female
o A.
Select a Match
o B. Enterobius vermicualris male
o B.
Select a Match
o C. Hookworm Rhabditiform (Newlyhatched)
o C.
Select a Match
o D. Hookworm Female
45. o D.
Select a Match
o E. Trichuris trichiura
o E.
Select a Match
o F. Ascaris lumbricoides female
o F.
Select a Match
o G. Ascaris lumbricoides male
o G.
Select a Match
o H. Hookworm Rhabditiform (5 days old)
o H.
Select a Match
o I. Hookworm male
o I.
Select a Match
o J. Strongyloides stercoralis Rhabditiform
o J.
Select a Match
o K. Strongyloides stercoralis Filariform
o K.
Select a Match
o L. Strongyloides stercoralis female
o L.
Select a Match
o M. Trichinella spiralis encysted larva
o M.
Select a Match
o N. Trichinella spiralis female
o N.
Select a Match
o O. Trichinella spiralis male
o O.
Select a Match
o P. Dracunculus medinensis First-Stage Larva
o P.
Select a Match
o Q. Dracunculus medinensis Female
o Q.
Select a Match
o R. Dracunculus medinensis male
o R.
Select a Match
64.
Match the following microfilariae with their measurements. (From Zeibig)
o A. Onchocerca volvulus
o A.
Select a Match
o B. Brugia malayi
o B.
Select a Match
o C. Loa loa
o C.
Select a Match
o D. Mansonella perstans
o D.
Select a Match
o E. Wuchereria bancrofti
46. o E.
Select a Match
o F. Mansonella ozzardi
o F.
Select a Match
65.
Identify the nematode.
o A.
Strongyloides stercoralis
o B.
Enterobius vermicularis
o C.
Ascaris lumbricoides
o D.
Trichuris trichiura
66.
Identify the nematode.
o A.
Whipworm
o B.
Threadworm
o C.
Pinworm
o D.
Ancylostoma duodenale
67.
Identify the parasite.
47. o A.
Capillaria philippinensis
o B.
Ascaris lumbricoides
o C.
Enterobius vermicularis
o D.
Trichuris trichiura
68.
Determine the organism with this life cycle.
o A.
Hookworm
o B.
Enterobius vermicularis
o C.
Ascaris lumbricoides
o D.
Strongyloides stercoralis
69.
Determine the parasite involved in this life cycle.
o A.
Strongyloides stercoralis
o B.
Ancylostoma duodenale
48. o C.
Dracunculus medinensis
o D.
Both a and b
70.
Which of the following is a distinct characteristic of this nematode?
o A.
D shape
o B.
Peanut shape
o C.
Prominent hyaline polar plug
o D.
Both b and c
71.
Identify the nematode.
o A.
Trichinella trichiura
o B.
Ascaris lumbricoides ova
o C.
Enterobius vermicularis ova
o D.
Trichinella spiralis
49. 72.
Identify which of the following is a correct description of the picture.
o A.
Onchocerca volvulus : Black fly
o B.
Loa loa : Simulium
o C.
Loa loa : Chrysops fly
o D.
Onchocerca : Mansonia
73.
Identify the filariae and the intermediate vector.
o A.
Brugia malayi : Aedes, Anopheles, Mansonia
o B.
Wuchereria bancrofti : Aedes, Anopheles, Culex
o C.
Loa loa : chrysops fly
o D.
Onchocerca volvulus : Simulium
74.
Identify the filaria.
o A.
Mansonella perstans
50. o B.
Mansonella ozzardi
o C.
All of the above
o D.
None of the above
75.
Identify the nematode involved.
o A.
Trichinella spiralis
o B.
Trichuris trichiura
o C.
Strongyloides stercoralis
o D.
Capillaria philippinensis