أسئلة الثانية بارا PPPM (قبل التعديل)

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

In the typical life cycle of trematodes, what process directly precedes the formation of the encysted metacercaria?

  • The cercaria losing its tail and secreting a cyst wall. (correct)
  • The release of miracidia from the egg.
  • The development of redia within the sporocyst.
  • The penetration of the skin by furcocercous cercaria.

How does the transmission of Schistosoma differ from that of other trematodes?

  • _Schistosoma_ transmission involves direct penetration of the skin by furcocercous cercaria, whereas other trematodes typically use encysted metacercariae. (correct)
  • _Schistosoma_ is transmitted through ingestion of contaminated food, while other trematodes penetrate the skin.
  • _Schistosoma_ utilizes an encysted metacercaria as its infective stage, unlike other trematodes.
  • _Schistosoma_ depends on vectors, while other trematodes rely on direct contact with contaminated sources.

A patient presents with dysentery characterized by blood and mucus in the stool. Which type of trematode infection is MOST likely the cause?

  • Blood flukes (_Schistosoma_) (correct)
  • Pulmonary trematodes
  • Hepatobiliary trematodes
  • Intestinal flukes

Which clinical manifestation is MOST indicative of urinary schistosomiasis?

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

A patient is suspected of having a pulmonary trematode infection. Which biological sample would be MOST appropriate for initial diagnosis?

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

Which of the following findings would suggest a long-term, severe infection of Schistosoma?

<p>Cancer of the bladder (D)</p> Signup and view all the answers

A patient presents with haematemesis and melena. These symptoms are MOST likely related to complications arising from which type of trematode infection?

<p>Blood flukes (<em>Schistosoma</em>) (A)</p> Signup and view all the answers

If a patient is diagnosed with a trematode infection acquired through ingesting contaminated food, which stage of the parasite's life cycle would MOST likely be present in the food?

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

Which characteristic distinguishes Schistosoma from most other trematodes?

<p>Rounded female body shape and separate sexes. (B)</p> Signup and view all the answers

What is the function of the spines found on the cuticle of some trematodes?

<p>Facilitate fixation and attachment to the host. (B)</p> Signup and view all the answers

In the life cycle of a trematode, what is the immediate developmental step following the hatching of a miracidium from an egg?

<p>Penetration and development within a snail intermediate host. (B)</p> Signup and view all the answers

A scientist discovers a new species of trematode that inhabits the liver and biliary tract of a mammalian host. How would this trematode be classified based on its habitat?

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

Which feature is characteristic of trematode eggs, with the exception of Schistosoma?

<p>Presence of an operculum. (D)</p> Signup and view all the answers

What is the role of the snail in the life cycle of trematodes?

<p>Intermediate host supporting asexual reproduction and larval development. (C)</p> Signup and view all the answers

Cercariae are released by the snail and seek their next host. What structural feature do they use to facilitate movement in the environment?

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

A researcher is studying a parasitic worm and observes the presence of rediae within the intermediate host snail. What type of helminth is MOST likely being studied?

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

In trematode infections, how does the route of entry into the definitive host by furcocercous cercariae differ from that of encysted metacercariae?

<p>Furcocercous cercariae penetrate the skin, while encysted metacercariae are ingested. (C)</p> Signup and view all the answers

Which of the following best explains why Schistosoma does not have an encysted metacercariae stage in its life cycle?

<p><em>Schistosoma</em> cercariae directly penetrate the definitive host, making encystment unnecessary. (D)</p> Signup and view all the answers

A patient presents with right hypochondrium pain, jaundice, and hepatomegaly. Which type of trematode infection is MOST likely suspected?

<p>Hepatobiliary trematode infection (D)</p> Signup and view all the answers

In a region where schistosomiasis is endemic, a patient presents with terminal haematuria. This symptom is MOST directly related to the presence of Schistosoma eggs where?

<p>Urinary bladder wall (C)</p> Signup and view all the answers

A patient is suspected of having a trematode infection affecting the hepatobiliary system. Which diagnostic approach would provide the MOST direct evidence of infection?

<p>Duodenal aspirate for ova (B)</p> Signup and view all the answers

Which of the following complications is specifically associated with intestinal schistosomiasis due to the chronic presence of blood flukes?

<p>Portal hypertension and esophageal varices (D)</p> Signup and view all the answers

A patient presents with haematemesis and melena secondary to a trematode infection. What underlying pathological process is MOST likely causing these symptoms?

<p>Rupture of esophageal varices due to portal hypertension (A)</p> Signup and view all the answers

A foodborne trematode infection is suspected following the ingestion of raw watercress. Which parasitic stage is MOST likely responsible for transmission in this scenario?

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

How does the unique morphology of Schistosoma species impact their ability to colonize the vasculature, compared to other trematodes that reside in the biliary tract?

<p>The flattened body shape and separate sexes of blood flukes enhance their ability to navigate and maintain position within blood vessels, whereas biliary flukes, being hermaphroditic with leaf-like bodies, are ill-suited to the high-flow environment of blood vessels. (A)</p> Signup and view all the answers

If a new drug were developed to target a unique aspect of trematode physiology, which of the following targets would selectively inhibit trematodes while least affecting the mammalian host?

<p>Blockage of the muscular pharynx's function, disrupting the worm's feeding mechanism. (A)</p> Signup and view all the answers

A researcher aims to disrupt the life cycle of a trematode that uses snails as an intermediate host. Which intervention would MOST effectively prevent the production of cercariae?

<p>Introducing a biological control agent that specifically preys on sporocysts and rediae within the snail. (B)</p> Signup and view all the answers

How does the absence of an operculum in Schistosoma eggs relate to their unique method of excretion from the host, compared to other trematode eggs?

<p>The lack of an operculum necessitates active excretion through host tissue damage using spines, unlike operculated eggs which are passively excreted via the digestive tract. (B)</p> Signup and view all the answers

Which of the following is the MOST critical difference in the reproductive strategy of Schistosoma compared to other trematodes, influencing its higher transmission rate?

<p>The unisexual nature of <em>Schistosoma</em> promotes outcrossing and genetic diversity, leading to enhanced adaptation and survival in diverse environments. (D)</p> Signup and view all the answers

In a population experiencing schistosomiasis, what environmental change would MOST likely lead to a resurgence of the disease after a period of decline due to control measures?

<p>Construction of dams and irrigation systems, expanding snail habitats and human water contact. (D)</p> Signup and view all the answers

If a novel drug inhibits the oral sucker of a trematode, what direct physiological consequence would MOST likely result?

<p>Disrupted nutrient absorption due to the inability to ingest food. (A)</p> Signup and view all the answers

Which feature of the trematode digestive system MOST significantly limits the parasite's ability to thrive in diverse host environments or adapt to different dietary sources?

<p>The absence of an anus, resulting in the regurgitation of undigested materials. (C)</p> Signup and view all the answers

Flashcards

Microcercous Cercaria

Cercaria with a small, knob-like tail.

Furcocercous Cercaria

Cercaria with a forked tail, like Schistosoma.

Encysted Metacercaria

Cercaria loses its tail and forms a cyst wall.

Encysted Metacercaria

The infective stage of trematodes, except for Schistosoma.

Signup and view all the flashcards

Furcocercous Cercaria

The infective stage of Schistosoma.

Signup and view all the flashcards

Trematode Infection Routes

Ingestion of contaminated food/drink with encysted metacercaria or skin penetration by furcocercous cercaria.

Signup and view all the flashcards

Symptoms of Intestinal Flukes

Abdominal colic, diarrhea, vomiting, loss of appetite, weight loss, vitamin deficiencies.

Signup and view all the flashcards

Symptoms of Hepatobiliary Trematodes

Prolonged fever, right hypochondrium pain, jaundice, hepatomegaly.

Signup and view all the flashcards

Medical Helminthology

The study of parasitic worms (helminths) in humans.

Signup and view all the flashcards

Trematode

A class of flatworms, typically leaf-shaped, parasitic in humans and animals.

Signup and view all the flashcards

Dorsoventrally Flattened

Flatworms that are flattened from top to bottom.

Signup and view all the flashcards

Oral Sucker

A sucker located at the anterior end, surrounding the mouth, used for attachment.

Signup and view all the flashcards

Ventral Sucker

A sucker on the ventral (belly) surface used for attachment.

Signup and view all the flashcards

Trematode Digestive System

The anterior end contains a mouth, which leads to an esophagus and two blind-ending intestinal caeca.

Signup and view all the flashcards

Hermaphroditism (in Trematodes)

Each adult worm has both male and female reproductive organs.

Signup and view all the flashcards

Miracidium

A ciliated, free-swimming larval stage that hatches from the egg.

Signup and view all the flashcards

Trematode Characteristics

Flatworms that are unsegmented and bilaterally symmetrical.

Signup and view all the flashcards

Oral Sucker Function

Anterior sucker surrounding the mouth for attachment.

Signup and view all the flashcards

Ventral Sucker Function

Sucker on the ventral (belly) surface used for attachment.

Signup and view all the flashcards

Miracidium Characteristics

Free-swimming, ciliated larval stage that hatches from the egg.

Signup and view all the flashcards

Sporocyst Role

Sac-like organism full of germinal cells that develop into rediae.

Signup and view all the flashcards

Redia Development

Develops from sporocysts and gives rise to daughter rediae and cercariae.

Signup and view all the flashcards

Encysted Metacercaria Formation

The stage where the cercaria loses its tail and forms a protective wall.

Signup and view all the flashcards

Typical Trematode Life Cycle

Adult fluke → egg → miracidium → sporocyst → redia → cercaria → encysted metacercaria (except Schistosoma).

Signup and view all the flashcards

Schistosoma Life Cycle

Adult fluke → egg → miracidium → sporocyst → cercaria.

Signup and view all the flashcards

Intestinal Schistosomiasis Symptoms

Dysentery with blood and mucus, possible portal hypertension, esophageal varices.

Signup and view all the flashcards

Urinary Schistosomiasis Symptoms

Terminal hematuria, dysuria, frequency, possible bladder cancer.

Signup and view all the flashcards

Intestinal/hepatobiliary helminths diagnosis

Stool or duodenal aspirate

Signup and view all the flashcards

Study Notes

Medical Helminthology and Definition

  • Study of helminths (worms) in humans.

Helminth Classification

  • Classified morphologically into Platyhelminths (flatworms) and Nemathelminths (roundworms).
  • Platyhelminths include Trematoda (flukes) and Cestoda (tapeworms).
  • Nemathelminths include Nematoda.

Morphology of Adult Trematodes

  • Typically flattened dorsoventrally (leaf-like), except Schistosoma, which has rounded female.
  • Lack a body cavity and are unsegmented.
  • Exhibit bilateral symmetry.

Organs of Fixation

  • Oral sucker: located at the anterior end surrounding the mouth.
  • Ventral sucker: found on the ventral surface.
  • Genital sucker: sometimes present.
  • Spines: cover the cuticle and aid in fixation.

Digestive System

  • Mouth is at the anterior end.
  • Esophagus has a muscular pharynx.
  • Two intestinal caeca end blindly at the posterior end.

Reproduction

  • Most are hermaphrodites (containing both male and female sex organs).
  • Schistosoma is an exception, being unisexual (separate sexes).

Life Cycle

  • Trematodes inhabit humans (definitive host) and animals (reservoir host).
  • Classified based on habitat: intestinal, lung, liver, and blood flukes.
  • Trematoda eggs are operculated, except Schistosoma eggs, which lack an operculum and have a spine.
  • The egg hatches into a miracidium in water.
  • Miracidium develops into a sporocyst within a snail (intermediate host).
  • Sporocyst produces rediae, which develop into daughter rediae and cercariae.
  • Cercariae leave the snail.
  • Schistosoma doesn't have a redia stage.
  • Cercaria loses its tail, secretes a cyst wall, and turns into encysted metacercaria.
  • Schistosoma does not have encysted metacercaria.

Tail Types of Cercaria

  • Simple tail (leptocercous cercaria).
  • Membrane along its tail (lophocercous cercaria).
  • Tail as a knob (microcercous cercaria).
  • Forked tail (furcocercous cercaria), as in Schistosoma.

Trematode Life Cycle Stages

  • Adult → egg → miracidium → sporocyst → redia → cercaria → encysted metacercaria.
  • Schistosoma: Adult → egg → miracidium → sporocyst → cercaria.
  • Infective stage: encysted metacercaria (trematodes), furcocercous cercaria (Schistosoma).

Mode of Infection

  • Ingestion: contaminated food/drink with encysted metacercaria.
  • Skin penetration: by furcocercous cercaria (Schistosoma).

Clinical Presentations of Trematode Infections

  • Presentations vary with the habitat of adult parasites and the affected organ.

Intestinal Flukes

  • Abdominal colic, diarrhea, vomiting, loss of appetite, weight loss, and vitamin deficiencies.

Hepatobiliary Trematodes

  • Prolonged fever, right hypochondrium pain, jaundice, and hepatomegaly

Lung Trematodes

  • Chest pain, cough, dyspnea (difficult breathing), hemoptysis (coughing of blood), and respiratory failure.

Intestinal Schistosomiasis

  • Dysentery with blood and mucus in stool.
  • May lead to portal hypertension and esophageal varices, causing haematemesis (vomiting blood) and melena (black stool due to blood).

Urinary Schistosomiasis

  • Terminal haematuria (bloody urine), dysuria, and frequency.
  • May lead to cancer of the bladder.

Diagnosis

  • Clinical and laboratory methods are used.

Microscopic Examination

  • To detect characteristic eggs.
  • Stool or duodenal aspirate for intestinal/hepatobiliary helminths.
  • Sputum or stool for pulmonary helminths.
  • Urine examination for urinary helminths.

Other Diagnostic Methods

  • Imaging: X-Rays or ultrasounds of affected organs.
  • Serology: detect the antibodies via testing serum.
  • Endoscopy: sigmoidoscopy or cystoscopy.
  • Histo-pathological diagnosis

Treatment

  • Most trematodes respond to Praziquantel.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

More Like This

Use Quizgecko on...
Browser
Browser