Clinical Pathology of Nematodes Quiz

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Questions and Answers

What is the length range of Enterobius vermicularis adults?

  • 2-13 mm (correct)
  • 50-70 mm
  • 20-30 mm
  • 100-120 mm

In the life cycle of Enterobius vermicularis, where do gravid females migrate to lay eggs?

  • Intestine
  • Lungs
  • Stomach
  • Perianal area (correct)

Which nematode can have viable eggs found on bed linens, towels, and furniture due to their resistance to drying?

  • Trichuris trichiura
  • Ascaris lumbricoides
  • Enterobius vermicularis (correct)
  • Necator americanus

Which nematode is known as The Pinworm?

<p>Enterobius vermicularis (C)</p> Signup and view all the answers

In the life cycle of Dracunculus medinensis, what is the final host where the female adult worm resides?

<p>Humans (C)</p> Signup and view all the answers

Which clinical manifestation is associated with Dracunculus medinensis infection?

<p>Skin ulcers with worm emergence (C)</p> Signup and view all the answers

Which method is NOT commonly used for the diagnosis of hookworm infection?

<p>Sputum examination (B)</p> Signup and view all the answers

What is the primary mode of transmission of hookworm infections to humans?

<p>Larval penetration of the skin (A)</p> Signup and view all the answers

Which species of hookworm is also known as the 'Old World hookworm'?

<p>Ancylostoma duodenale (C)</p> Signup and view all the answers

What is the common associated disease name for hookworm infection?

<p>Ancylostomiasis (B)</p> Signup and view all the answers

Where is Ancylostoma duodenale primarily distributed?

<p>Europe and South America (D)</p> Signup and view all the answers

What is the key route for hookworm larvae to enter the human body?

<p>Penetration through skin (A)</p> Signup and view all the answers

What is the primary method of transmission of Trichuris trichiura?

<p>Soil contamination (A)</p> Signup and view all the answers

Where in the body do Trichuris trichiura worms embed the anterior portion?

<p>Colon (D)</p> Signup and view all the answers

What is the common name for Trichuris trichiura?

<p>Whipworm (C)</p> Signup and view all the answers

Which preventive measure helps in preventing egg dispersal of Trichuris trichiura into the environment?

<p>Avoiding scratching the infected area (A)</p> Signup and view all the answers

How do infective eggs of Trichuris trichiura become capable of causing infection?

<p>They undergo development in the soil (A)</p> Signup and view all the answers

What is the most common environment where Trichuris trichiura is found?

<p>Warm climates (A)</p> Signup and view all the answers

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Study Notes

Intestinal Nematodes

  • Enterobius vermicularis (The Pinworm)
    • Life Cycle:
      • Eggs are ingested, hatch in intestine, larvae mature, adults live in the colon (2-13 mm)
      • Gravid females migrate to the perianal area at night to lay eggs (up to 15,000 eggs)
      • Eggs develop to the infective stage within 4-6 hours
      • Eggs are resistant to drying, can survive for extended periods in cool, moist environments
    • Diagnosis: direct fecal smear (DFS), Kato thick Smear, Kato-Katz techniques, concentration techniques (FECT)
    • Treatment: albendazole and mebendazole
    • Prevention and Control: avoidance of using human feces as fertilizer, exercising proper sanitation and personal hygiene practices

Hookworms

  • Necator americanus (New World hookworm) and Ancylostoma duodenale (Old World hookworm)
    • Common associated disease and condition names: Hookworm infection, ancylostomiasis, necatoriasis
    • Distribution: Necator americanus in North America and Africa, Ancylostoma duodenale in Europe and South America
    • Transmission: Soil Transmitted Helminths (STH), Larval penetration of the skin
    • Life Cycle:
      • Humans contract hookworm when third-stage filariform larvae penetrate through the skin
      • Larvae migrate to the lymphatics and blood system, then to the lungs, bronchioles, and ultimately the intestine
    • Prevention and Control:
      • Practicing proper personal hygiene, particularly hand washing
      • Applying an ointment or salve to an infected perianal area to prevent egg dispersal
      • Avoiding scratching the infected area
      • Thorough cleaning of all potentially infected environmental surfaces, including linens

Trichuris trichiura (The Whipworm)

  • Common name: Whipworm
  • Common associated disease and condition names: Trichuriasis, whipworm infection
  • Distribution: Third most common helminth, found primarily in warm climates, common among children and in the institutionalized mentally retarded
  • Transmission: Soil transmitted helminth (STH)
  • Life Cycle:
    • Infective, fully embryonated eggs are ingested, larvae hatch in small intestine, penetrate and develop in the intestinal villi, return to lumen and migrate to the area of the cecum
    • Larvae mature and live in the colon, embedding their anterior portion into the mucosa
    • Eggs are released into the stool, and must undergo development in the soil for a period of time (approximately 10 days to 3 weeks) before they become infective

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