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Questions and Answers

Which type of transmission may occur via contaminated blood transfusion?

  • Human to human transmission (correct)
  • Fecal-oral transmission
  • Airborne transmission
  • Vector transmission

What is the frequency of retroinfection in Enterobius vermicularis?

  • Rare
  • Frequent
  • Never occurs
  • Unknown (correct)

How long does it take for Trichuris trichiura females to start ovipositing after infection?

  • 6 months
  • 30 to 40 days
  • 60 to 70 days (correct)
  • 3 to 4 months

What is the life span of adult Ascaris lumbricoides?

<p>1 year (D)</p> Signup and view all the answers

How long does it take for Necator americanus to develop from ingestion of infective eggs to oviposition by the adult female?

<p>2 to 3 months (D)</p> Signup and view all the answers

What is a unique feature of Ancylostoma duodenale larvae?

<p>They can become dormant in the intestine or muscle (A)</p> Signup and view all the answers

What is a feature of the Strongyloides stercoralis life cycle?

<p>It alternates between free-living and parasitic cycles (B)</p> Signup and view all the answers

What happens to rhabditiform larvae in the gut of Strongyloides stercoralis?

<p>They become infective filariform larvae (C)</p> Signup and view all the answers

What is the definitive host in the life cycle of Diphyllobothrium?

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

What is the infective stage of Echinococcus granulosus?

<p>Eggs in feces (D)</p> Signup and view all the answers

What is the diagnostic stage of Fasciola hepatica?

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

What is the infective stage of Fasciolopsis buski?

<p>Metacercariae on water plant (C)</p> Signup and view all the answers

What is the diagnostic stage of Clonorchis sinensis?

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

What happens if hydatid cysts rupture in Echinococcus granulosus?

<p>The liberated protoscolices create secondary cysts (A)</p> Signup and view all the answers

What is the average length of adult worms after maturation of the parasites?

<p>30 cm (D)</p> Signup and view all the answers

How do humans acquire Diphyllobothrium?

<p>By ingesting undercooked paratenic host fish (C)</p> Signup and view all the answers

How many eggs can an adult Diphyllobothrium discharge per day?

<p>Up to 1,000,000 (B)</p> Signup and view all the answers

How do eggs reach the environment in the mammalian host?

<p>In the feces (A)</p> Signup and view all the answers

What is the life span of adult worms in the absence of internal autoinfection?

<p>4-6 weeks (D)</p> Signup and view all the answers

What is the vector responsible for transmitting Mansonella ozzardi?

<p>Sucking midge by genus Culicoides or the Simulium blackfly (D)</p> Signup and view all the answers

What is the mode of transmission of Dipylidium caninum?

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

What is the diagnostic stage of Mansonella perstans?

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

Which of the following is NOT a characteristic of Mansonella streptocerca?

<p>Transmitted through the bite of a tsetse fly (D)</p> Signup and view all the answers

What is the primary intermediate host of Diphyllobothrium latum?

<p>Cyclops species crustacean (C)</p> Signup and view all the answers

What is the infective stage of Taenia saginata?

<p>Cysticercus larva in meat (A)</p> Signup and view all the answers

What is the diagnostic stage of Hymenolepis nana?

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

What is the intermediate host of Hymenolepis diminuta?

<p>Arthropods (adult/larva) -- Genus: Tribolum beetle (C)</p> Signup and view all the answers

How do humans acquire infection of Dipylidium caninum?

<p>Ingestion of cysticercoid contaminated flea (C)</p> Signup and view all the answers

What is the mode of transmission of Diphyllobothrium latum?

<p>Ingestion of undercooked predator/paratenic host (C)</p> Signup and view all the answers

How is Hymenolepis diminuta typically transmitted?

<p>Ingestion of insects in precooked cereals or other foods (A)</p> Signup and view all the answers

What occurs shortly after the cysticercoid larvae of Hymenolepis diminuta are released in the stomach and small intestine?

<p>Eversion of the scoleces (A)</p> Signup and view all the answers

How do the parasites of Hymenolepis diminuta attach to the small intestine wall?

<p>Using the four suckers on the scolex (D)</p> Signup and view all the answers

What is the term used to describe the parasitic infection of blood?

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

Which of the following is NOT a complication of Trypanosoma cruzi infection?

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

What is the term used to describe the restriction analysis of kinetoplast DNA technique?

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

Which of the following is a characteristic of Trypanosoma brucei gambiense?

<p>Kerandel's sign (B)</p> Signup and view all the answers

What is the term used to describe the umbrella term often used to refer to the blepharoplast and small parabasal body?

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

Which of the following is NOT a species of Plasmodium?

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

What is the term used to describe the inability of an individual to mount an adequate immune response?

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

Which of the following is a complication of Babesia infection?

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

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Study Notes

Leishmania Complexes

  • Leishmania donovani complex:
  • Leishmania Mexicana complex:
  • Leishmania tropica complex:

Trypanosoma

  • Trypanosoma brucei gambiense:
    • Vector: Tsetse fly
  • Trypanosoma brucei rhodiesiense:
    • Vector: Tsetse fly
  • Trypanosoma cruzi:
    • Vector: Triatomine bug
    • Life cycle:
    • Infections can occur through contaminated blood transfusions
  • Trypanosoma rangeli:
    • Vector: Triatomine bug

Definition of Terms

  • Blepharoplast: Basal body structure
  • Kinetoplast: Umbrella term for blepharoplast and small parabasal body
  • Parasitemia: General term for describing parasitic infection of blood
  • Schizodeme analysis: Restriction analysis of kinetoplast DNA technique
  • Zymodeme analysis: Restriction analysis of isoenzyme pattern technique
  • Pruritis: Intense itching
  • Anergic: Inability of an individual to mount an adequate immune response
  • Nagana: Form of the disease often found in cattle
  • Chancre: Ulcer
  • Malaise: General feeling of discomfort, illness, or uneasiness whose exact cause is difficult to identify
  • Lymphadenomaly: Lymph node enlargement
  • Kerandel's sign: Delayed sensation to pain
  • Somnolence: Excessive sleepiness
  • Myalgia: Pain in a muscle or group of muscles
  • Glomerulonephritis: Subsequent kidney damage
  • Myocarditis: Inflammation of the heart
  • Chagoma: Development of an erythamous nodule
  • Romana's Sign: Characteristic conjunctivitis and unilateral edema of the eyelids
  • Megacolon: Enlargement of colon
  • Megaesophagus: Enlargement of esophagus
  • Hepatosplenomegaly: Enlargement of liver and spleen
  • Cardiomegaly: Enlargement of heart

Plasmodium and Babesia

  • Plasmodium vivax:
  • Plasmodium ovale:
  • Plasmodium malariae:
  • Plasmodium falciparum:
  • Babesia species:
    • Human to human transmission may occur via contaminated blood transfusions
  • Babesia microti:
    • Life cycle:

Nematodes

  • Enterobius vermicularis:
    • Life cycle:
    • Retroinfection: Migration of newly hatched larvae from the anal skin back into the rectum
  • Trichuris trichiura:
    • Life cycle:
    • Female worms in the cecum shed between 3,000 and 20,000 eggs per day
  • Ascaris lumbricoides:
    • Life cycle:
    • Adult worms can live 1 to 2 years
  • Necator americanus:
    • Life cycle:
  • Ancylostoma duodenale:
    • Life cycle:
    • Some A.duodenale larvae can become dormant and re-activate to establish patent infections
  • Strongyloides stercoralis:
    • Life cycle:
    • Autoinfection: Filariform larvae can penetrate the intestinal mucosa or skin, resulting in autoinfection
  • Mansonella ozzardi:
    • Life cycle:
    • Infective stage: L3 Larva enters bite wound
    • Diagnostic stage: Unsheathed microfilaria
    • Vector: Sucking midge or blackfly
  • Mansonella perstans:
    • Life cycle:
    • Infective stage: L3 Larva enters bite wound
    • Diagnostic stage: Unsheathed microfilaria
    • Vector: Biting midges of the genus Culicoides
  • Mansonella streptocerca:
    • Life cycle:
    • Infective stage: L3 Larva enters bite wound
    • Diagnostic stage: Unsheathed microfilaria
    • Vector: Biting midges of the genus Culicoides

Cestodes

  • Taenia saginata:
  • Taenia solium:
    • Life cycle:
    • Infective stage: Cysticercus larva present in meat
    • Diagnostic stage: Eggs on gravid proglottids in feces
    • Mode of transmission: Ingestion of contaminated meat
  • Hymenolepis diminuta:
    • Life cycle:
    • Infective stage: Cysticercus in body cavity of insects ingested by rodent or human
    • Diagnostic stage: Eggs passed in feces
    • Mode of transmission: Ingestion of insects in precooked cereals or other foods and directly from environment
  • Hymenolepis nana:
    • Life cycle:
    • Infective stage: Cysticercoid infected arthropod or embryonated eggs
    • Diagnostic stage: Embryonated eggs
    • Intermediate host: Beetles and fleas
    • Mode of transmission: Internal autoinfection or ingestion of contaminated food
  • Dipylidium caninum:
    • Life cycle:
    • Infective stage: Cysticercoid in fleas
    • Diagnostic stage: Gravid proglottids and eggs
    • Intermediate host: Larval stage of dog flea and cat flea
    • Mode of transmission: Dog and cat licking the host; Hand-to-Mouth contamination; Ingestion of contaminated food
  • Diphyllobothrium latum:
    • Life cycle:
    • Primary intermediate host: Cyclops species crustacean
    • Secondary intermediate host: Perch fish and Pike fish
    • Paratenic host: Predator fish as transport host
    • Infective stage: Pleocercoid/Pleurocercoid larvae
    • Diagnostic stage: Unembryonated eggs
    • Mode of transmission: Ingestion of undercooked paratenic host
  • Echinicoccus granulosus:
    • Life cycle:
    • Infective stage: Embryonated eggs in feces
    • Diagnostic stage: Alveolar hydatid cyst in various organs
    • Mode of transmission: Ingestion of eggs
    • Humans are aberrant intermediate hosts, and become infected by ingesting eggs

Trematodes

  • Fasciolopsis buski:
    • Life cycle:
    • Infective stage: Metacercariae on water plants
    • Diagnostic stage: Unembryonated eggs
    • Mode of transmission: Ingestion of contaminated plants
  • Fasciola hepatica:
    • Life cycle:
    • Infective stage: Metacercariae on vegetation
    • Diagnostic stage: Unembryonated eggs
    • Mode of transmission: Ingestion of contaminated plants
  • Clonorchis sinensis:
    • Life cycle:
    • Infective stage: Metacercariae in contaminated fresh water fish
    • Diagnostic stage: Embryonated eggs
    • Mode of transmission: Ingestion of contaminated fish

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