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Blood Flagellates

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40 Questions

What is characteristic of the kinetoplast in blood and tissue flagellates?

It consists of a parabasal body and an adjacent dotlike blepharoplast

What is the primary mode of transmission of Leishmaniasis?

The bite of certain types of sandflies

Which of the following is a risk factor for Leishmaniasis?

All of the above, except proper sanitation and hygiene

What is the shape of the amastigote form of Leishmania?

Spherical or subspherical

Which genus of sandflies transmits Old World Leishmaniasis?

Phlebotomus

How many hosts are necessary for the life cycle of Leishmania?

Two hosts, humans and sandflies

What is the form of Leishmania that is found extracellularly in the alimentary canal of the sand fly?

Promastigote

Where do promastigotes initially migrate to after reproduction in the sand fly?

Proximal end of the gut

What is the result of repeated multiplication of amastigotes in the macrophage cell?

The macrophage cell breaks down due to pressure of mass

How do amastigotes typically spread to new hosts in the human body?

Both A and B

What is the term for the type of leishmaniasis caused by L. tropica, L. major, and L. aethiopica?

Old world leishmaniasis

What is the site where promastigotes are introduced locally into the human host during a sand fly bite?

Bite site

What is the primary method of diagnosis for Old World leishmaniasis?

A skin scraping with microscopic analysis using Wright or Giemsa stain

Which type of leishmaniasis is associated with high fatality and is considered the most severe form?

Visceral leishmaniasis (kala-azar)

What is the habitat of the parasite Leishmania donovani in humans?

Reticuloendothelial cells

What is the result of a Leishmanin skin test (Montenegro test)?

A delayed-type hypersensitivity reaction

What is the typical outcome of cutaneous leishmaniasis?

The lesion heals in a few months to a year, leaving an unpleasant-looking scar

What is the outcome of diffuse cutaneous leishmaniasis?

The lesion produces widespread skin lesions that resemble leprosy

What is the primary site of Leishmania replication in the human body?

Macrophages

What is the outcome of severe cases of mucocutaneous leishmaniasis if left untreated?

Difficulty eating and potentially fatal

What is the primary goal of vaccination against Leishmania?

To stimulate a strong cell-mediated immunity

Which of the following is a treatment option for visceral leishmaniasis?

Liposomal amphotericin B

What is the advantage of treating people with leishmaniasis early?

To prevent further spread of the disease

What is the typical outcome of a mucocutaneous leishmaniasis lesion if left untreated?

The lesion will spontaneously heal with scarring

What is the primary location where the parasite multiplies after inoculation?

Reticuloendothelial cells

Which of the following is a common symptom of Old World Leishmaniasis?

Enlargement of the spleen

What is the usual cause of death in patients with Old World Leishmaniasis?

Secondary infections

What is the name of the secondary form of the disease that may occur after successful treatment?

Post kala-azar dermal leishmaniasis

Which of the following is a parasitological diagnosis method for Old World Leishmaniasis?

Blood film stained with Leishman or Giemsa stain

What is the purpose of PCR tests in the diagnosis of Old World Leishmaniasis?

To detect Leishmania DNA

What is the primary reason why most vaccines against Leishmania have been ineffective?

They induce a humoral response instead of a cell-mediated response

Which of the following is a characteristic of the pathogenesis of mucocutaneous leishmaniasis?

Leishmania invades human macrophages and replicates intracellularly

What is the primary factor that determines the treatment of leishmaniasis?

The species of Leishmania involved

What is the purpose of reservoir control programs in the prevention of leishmaniasis?

To reduce the number of animals that serve as reservoirs for Leishmania

What is the outcome of severe cases of mucocutaneous leishmaniasis if left untreated?

The disease can be fatal and can diminish the ability to eat

What is the role of macrophages in the pathogenesis of leishmaniasis?

They are the primary host cells for Leishmania replication

What is the primary mechanism of transmission of Leishmania?

Sandfly bites

What is the effect of leishmaniasis on the nose and mouth?

It causes both skin and mucosal ulcers

What is the primary goal of preventive measures against leishmaniasis?

To reduce the risk of transmission to humans

What is the characteristic of the lesions that develop at the site of the sandfly bite in mucocutaneous leishmaniasis?

They may spontaneously heal with scarring

Test your knowledge on blood flagellates, including hemoflagellates, Leishmania, and Trypanosom, and their characteristics. This quiz covers the different types of flagellates, their nucleus, kinetoplast, and flagellum. It also delves into the family Trypanosomatidae and its genera.

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