Intestinal Protozoa L7
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Questions and Answers

Which type of parasites move by cilia?

  • Flagellates
  • Ciliates (correct)
  • Apicomplexa
  • Amoebae
  • What is the main characteristic of roundworms (Nematodes)?

  • Unicellular
  • Specialized cells
  • Elongated, cylindrical, unsegmented (correct)
  • Segmented body
  • Which type of parasite has a tape-like, segmented body?

  • Amoebae
  • Flagellates
  • Cestodes (correct)
  • Trematodes
  • What is the mnemonic for remembering the body shape of trematodes and cestodes?

    <p>'Cestodes = cm = tape'</p> Signup and view all the answers

    Which protozoan parasite is capable of causing sporadic or epidemic diarrheal illness?

    <p>Giardia lamblia</p> Signup and view all the answers

    What is an important cause of waterborne and foodborne disease, daycare center outbreaks, and illness in international travelers?

    <p>Giardia lamblia</p> Signup and view all the answers

    What is the mode of movement for Giardia lamblia?

    <p>Move by flagella</p> Signup and view all the answers

    Which of the following is the infectious and diagnostic stage of Entamoeba histolytica?

    <p>Cyst</p> Signup and view all the answers

    Which of the following parasites is known to cause liver abscess as a complication?

    <p>Entamoeba histolytica</p> Signup and view all the answers

    A patient presented with bloody diarrhea with mucus. Which parasite could be responsible for this clinical manifestation?

    <p>Entamoeba histolytica</p> Signup and view all the answers

    What is the complication of chronic giardiasis in children?

    <p>Stunted growth</p> Signup and view all the answers

    Which species of Entamoeba is pathogenic?

    <p>Histolytica</p> Signup and view all the answers

    How is cryptosporidium transmitted?

    <p>Fecal-oral</p> Signup and view all the answers

    Which of the following is a good specimen for diagnosis of giardiasis?

    <p>Duodenal aspirate</p> Signup and view all the answers

    Where does excystation take place for Entamoeba histolytica?

    <p>Small intestine</p> Signup and view all the answers

    What is the drug of choice for amoebic dysentery?

    <p>Metronidazole</p> Signup and view all the answers

    Which stage of Giardia is responsible for causing the disease by attaching to the mucosal surface and damaging the duodenal epithelium?

    <p>Trophozoites</p> Signup and view all the answers

    How do Giardia cysts survive in the stomach to pass into the duodenum?

    <p>By forming a protective shell</p> Signup and view all the answers

    What is the drug of choice for treating giardiasis?

    <p>Metronidazole</p> Signup and view all the answers

    Which organ can be affected by extra-intestinal infections in amebiasis?

    <p>Liver</p> Signup and view all the answers

    How is amebiasis primarily transmitted?

    <p>Contaminated water or food</p> Signup and view all the answers

    What is a characteristic of Entamoeba histolytica cysts in the environment?

    <p>They can survive for long periods</p> Signup and view all the answers

    How do Giardia and Entamoeba differ in their life cycle?

    <p>Giardia has a complex life cycle with cysts and trophozoites, while Entamoeba has a simple life cycle.</p> Signup and view all the answers

    What are the clinical manifestations of symptomatic intestinal infections caused by Entamoeba histolytica?

    <p>Abdominal pain, bloody diarrhea, and bloody/mucous stools</p> Signup and view all the answers

    How is intestinal amoebiasis diagnosed?

    <p>Stool examination revealing ingested RBCs, and serology or molecular testing</p> Signup and view all the answers

    What are the symptoms of amebic liver abscess caused by Entamoeba histolytica?

    <p>Fever, right upper abdominal pain, hepatomegaly, and a well-defined mass on CT scan</p> Signup and view all the answers

    How is cryptosporidiosis diagnosed?

    <p>Microscopy and Ag detection in stools, and in stool oocysts using a modified acid-fast stain or PCR</p> Signup and view all the answers

    How is extra-intestinal amoebiasis diagnosed?

    <p>Serology, surgical aspirate, and radiological examination</p> Signup and view all the answers

    What is the most effective way to prevent cryptosporidiosis?

    <p>Hygiene</p> Signup and view all the answers

    Study Notes

    • Entamoeba Histolytica causes both asymptomatic and symptomatic intestinal infections, including amebic dysentery.
    • Clinical manifestations of symptomatic intestinal infections range from mild diarrhea to severe amebic dysentery, with abdominal pain, bloody diarrhea, and bloody/mucous stools.
    • Intestinal amoebiasis: Trophozoites have the ability to hydrolyze host tissues and ingest blood cells, causing diarrhea with blood, mucus, and sometimes tenesmus, and may cause serious complications such as intestinal perforation and amebic liver abscess.
    • Extraintestinal amoebiasis: Complications include amebic liver abscess, with symptoms such as fever, right upper abdominal pain, hepatomegaly, and a well-defined mass on CT scan.
    • Intestinal perforation: A flask-shaped ulcer and inflammatory response in the large intestine can lead to peritonitis and death.
    • Diagnosis: Intestinal amoebiasis can be diagnosed through stool examination, which may reveal ingested RBCs, and serology or molecular testing. Extra-intestinal amoebiasis is diagnosed through serology, surgical aspirate, and radiological examination.
    • Treatment: Intestinal amoebiasis can be treated with diloxanide furoate for asymptomatic cases, or metronidazole for symptomatic cases. Extra-intestinal amoebiasis is treated with metronidazole.
    • Cryptosporidium Parvum: An intracellular protozoan parasite that causes self-limited diarrhea in immunocompetent individuals but can cause severe debilitating diarrhea, weight loss, and malabsorption in immunocompromised patients.
    • Cryptosporidiosis: Diagnosis is based on microscopy and Ag detection in stools, and in stool oocysts using a modified acid-fast stain or PCR.
    • Prevention and treatment: Hygiene is the most effective way to prevent cryptosporidiosis. In AIDS patients, paromomycin can be used for treatment.
    • Comparison with Giardia: Both parasites can cause intestinal infection and diarrhea, but Entamoeba histolytica is capable of causing extraintestinal complications and more severe symptoms, while Cryptosporidium parvum is primarily an opportunistic infection in immunocompromised patients.

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    Intestinal Protozoa - L7 PDF

    Description

    Test your knowledge on distinguishing between Entamoeba Histolytica and Entamoeba Dispar infections based on their clinical picture and lab examination. Learn about the outcomes and clinical manifestations of these two similar but distinct parasitic infections.

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