The document contains information about an exam including: - Instructions for answering questions from left to right and writing the question number before answering. - The exam contains 6 questions worth 5 marks each for a total of 30 marks. - Example questions are provided about disease transmission mechanisms, parasitic diseases transmitted by flies, malaria complications, leishmaniasis classification and causative parasites, helminths transmitted by autoinfection, and parasitic causes of various diseases.

1. Prof. Dr. Mohamed Hegab

2. 1-‫من‬ ‫لليمنى‬ ‫اليسرى‬ ‫الجهة‬ ‫من‬ ‫اإلجابة‬
‫اإلجابة‬ ‫كراسة‬.
2-‫مستقلة‬ ‫صفحة‬ ‫في‬ ‫سؤال‬ ‫كل‬ ‫إجابة‬
‫اإلجابة‬ ‫قبل‬ ‫السؤال‬ ‫رقم‬ ‫وكتابة‬.
3-‫واحدة‬ ‫إجابة‬ ‫بكراسة‬ ‫للطالب‬ ‫مسموح‬.

3. 30 Marks
6 Questions
Each question 5 Marks

4. What are the mechanisms
of disease transmission by
arthropods?
 Mention its types with
examples

5. Mention five parasitic
diseases could be
trnsmitted by Musca
domestica.
Outline the control
measures for Musca.

6. Why Plasmodium
falciparum cause
malignant malaria?
Mention its
complications.

7. Classify clinical types of
cutaneous and
mucocutaneous
leishmaniasis
and name the causative
parasite.

8. Enumerate helminthes that
are transmitted by
autoinfection.
 Mention the infective stage,
the diagnostic stage, and the
definitive host for each of
them.

9.  What is the parasitic cause and mode
of human infection of the following :
 a. Primary amebic
meningeoencephalitis.
 b. Miners’ anaemia (Egyptian
chlorosis).
 c. Chagoma.
 d. Calabar swelling.
 e. Tropical pulmonary esinophilia.

10.  45 Marks
 A) Clinical Cases: 10 Marks
 B)Complete: 10 Marks
 C) Rewrite: 10 Marks
 D) MCQ –Single Answer: 5
Marks
 E) Matching: 10 Marks

11. 10 Marks
2 cases
Each case 5 Marks

12.  A 70 years old diabetic female under
cytotoxic drugs treatment started to
complain of diarrhea with fuel smell.
She visited her doctor who ordered
stool analysis, it revealed the presence
of pear shaped flagellated trophozites
sized 15 x 8 µ. Also, there was an
increased fat content of the stool but
neither mucous nor blood was
existing.

13.  A) What is your provisional diagnosis
for that patient?
 B) What is the expected complication
that might occur for such patient?
 C) What is the drug of choice for
treating this patient?
 D) Mention other four opportunistic
parasites.

14.  A 43- years old farmer visited his physician
for routine physical examination. His
Physician noted an enlarged liver with a
palpable mass in the right hypochondrium.
He asked for stool examination and it was
negative for all parasites. His blood showed
slight eosinophilia. Abdominal sonography
revealed a cyst about 6 cm in diameter in
his right lobe of the liver. Aspiration of the
fluid of the cyst revealed some scolices.

15.  A) What is your provisional diagnosis?
 B) Mention the infective stage and
mode(s) of infection?
 C) Can this patient pass the disease to
other member of his family and why?
 D) What are the most important other
sites in the body that can be affected
by such a cyst?

16. 10 Marks
Fill in spaces

17.  1- ………………………….
 2- ………………………….
 3- ………………………….

18.  1- D. latum
 2- Taenia saginata
 3- Taenia solium

19.  1- ……………….
 2- ……………….
 3- ……………….

20.  1-Visceral larva migrans
 2- Ascaris
 3- Hookworms
 4- Strongyloides
 5- Tropical pulmonary eosinophilia(filaria)

21. 10 Marks
 The underlined words in the
following sentences may be
True or False Rewrite each
statements with correction of
the false ones only without
correction of the true ones

22. Casoni test is used in
immunodiagnosis of
toxocariasis while
Bachman test is used for
immuno-diagnosis of
cysticercosis.

23. Casoni test is used in
immunodiagnosis of
toxocariasis while
Bachman test is used for
immuno-diagnosis of
cysticercosis.

24. Thiabendazole is the drug
of choice in treatment of
Trichuris and Ascaris while
albendazole is the drug of
choice in treatment of
Enterobius and hookworms.

25. Thiabendazole is the drug
of choice in treatment of
Strongyloides stercoralis
and Trichinella spiralis
while albendazole is the
drug of choice in treatment
of Enterobius and
hookworms.

26.  Answer in Answer Sheet (Red)
 Mark Circle Well.
 First of All: Write down your name,
number and form of exam (A,B,C,D or
E).
 Choose Best Single Answer for each of
the following questions
 5 Marks

27. Chagas disease :
1- The causative parasite is T. gambiense
2- Glossina is the vector
3- Diagnosed by urine analysis
4- May affect cardiac muscles

28. Chagas disease :
1- The causative parasite is T. gambiense
2- Glossina is the vector
3- Diagnosed by urine analysis
4- May affect cardiac muscles

29.  Matching has separate area in
the answer sheet (Lower part)
 Matching has separate
numbering in the answer sheet
 10 Marks

30. Match each disease
(syndrome) with its
causative parasite

31. 1
Liver rot A Schistosoma mansoni
2 Katayama fever B Sarcoptes scabiei
3
Hydatid disease C Leishmania donovani
4
Coenourosis D Ancylostoma caninum
5
Tropical splenomegaly syndrome
E Wuchereria bancrofti
6
Black fever F Fasciola gigantica
7
Elephantiasis G Plasmodium malaria
8
Primary amoebic
meningeoencephalitis
H
Echinococcus
granulosus
9 Cutaneous larva migrans I Multiceps multiceps
10
Scabies J Naegleria fowleri

32. 1
Liver rot F
Fasciola gigantica
2 Katayama fever A
Schistosoma mansoni
3
Hydatid disease H
Echinococcus granulosus
4
Coenourosis I
Multiceps multiceps
5
Tropical splenomegaly syndrome
G Plasmodium malaria
6
Black fever C Leishmania donovani
7
Elephantiasis E Wuchereria bancrofti
8
Primary amoebic
meningeoencephalitis
J
Naegleria fowleri
9 Cutaneous larva migrans D Ancylostoma caninum
10
Scabies B Sarcoptes scabiei