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PARA LMR EXAMINATION QUESTIONS WITH CORRECT DETAILED ANSWERS

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PARA LMR EXAMINATION QUESTIONS WITH CORRECT DETAILED ANSWERS The eggs are small, yellow-brown, EMBRYONATED and operculated, may have mINIMAL OPERCULAR SHOULDERS: Fasciola hepatica Fasciolopsis buski Heterophyes heterophyes Paragonimus westermani - Answer-Heterophyes heterophyes Hint: ...

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  • November 2, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
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PARA LMR EXAMINATION QUESTIONS
WITH CORRECT DETAILED ANSWERS

The eggs are small, yellow-brown, EMBRYONATED and operculated, may have
mINIMAL OPERCULAR SHOULDERS:

Fasciola hepatica
Fasciolopsis buski
Heterophyes heterophyes
Paragonimus westermani - Answer-Heterophyes heterophyes


Hint:
Embryonated means MATURE

MATURE = SHOC
IMMATURE = FFPE

The infective life cycle stage of a fluke (except blood fluke) is the:


Mircacidum
Cercariae
Metacercariae
Pleurocercariae - Answer-Metacercaria

hint:
MOT: ingestion

The fluke acquired by eating contaminated vegetation is:

Clonorchis sinensis
Fasciolipsis buski
Heterophyes heterophyes
Paragonimus westermani - Answer-Fasciolipsis buski

Hint:
Plant vegetation: FFF
-FH, FG ( kangkong / water spinach )
-FB (chestnut, caltrop)

Fish carrying metacercariae may transmit:

,Clonorchis sinensis
Fasciolopsis buski
Paragonimus westermani
Schistosoma haematobium - Answer-Clonorchis sinensis


Hint:
fish : HH, CS, OF

Paragonimus westermani infection is acquired by:

Drinking contaminated water
Eating infected crustacea
Eating infected fish
Eating infected water chestnut - Answer-Eating infected crustacea

The mode of transmission of schistosomal infection is by:

Ingestion of contaminated aquatic vegetation
Direct penetration of the skin by cercariae
ingestion of raw fish
Mosquito bite - Answer-Direct penetration of the skin by cercariae

causes Swimmer's itch - Answer-S. japonicum

Drug of choice for treatment of schistosoma infection is:

Metrifonate
Praziquantel
Bilarcil
Niclosamide - Answer-Praziquantel


Hint:
all trematodes DOC: praziquantel (2-3x/day)

S. mansoni : require higher dose

Bilarcil/Metrifonate : S. haemotobium (1 every other week, total of 3 doses)

A diagnostic characteristic of the egg of schistosoma mansoni is:

A large lateral spine
No spine
A pointed terminal spine

, A small lateral spine - Answer-A large lateral spine

Hint:
terminal: haematobium
small lateral: japonicum

To optimize recovery of S. haematobium in urine, the specimen should be collected:

Early morning
noon to 2 pm
2pm to 4 pm
10 pm to 2 am - Answer-noon to 2pm


Hint:
2-4 pm causes UROBILINOGEN

Infection with S. haematobium may present with which of the ff?

Nausea
Basophilia
Hematuria
Jaundice - Answer-Hematuria


Hint:
S. haematobium patholog:
urine schistosomiasis and egyptian hematuria (blood in urine)

Trophozoites are characterized with progressive motility, hyaline, finger-like
pseudopodia, motility may be rapid:

Endolimax nana
Entamoeba coli
Entamoeba histolytica
Iodamoeba butschlii - Answer-Entamoeba histolytica


Hint:
E. coli = blunt pseudopodia
E. histolytica = chromatoidal bars: coffine/sausage/road/cigar

Entamoeba dispar is confused morphologically with:

E. coli
E. hatmanni

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