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The document discusses different types of helminths (parasitic worms) that can infect humans, their life cycles, means of transmission, symptoms, and methods of diagnosis.

The three main groups are nematodes (roundworms), cestodes (tapeworms), and trematodes (flukes).

Swallowing infective eggs, larvae, or parasites via the fecal-oral route.

 1.

 The three main groups of helminth important to human are ________,


_________ and ___________.
o A. Sarcodina, Cestoda and Sporozoa
o B. Cestoda, Digenea and Nematoda
o C. Protozoa, metazoa, and parasite worm
o D. Trematoda, platyhelminths, mastigophora

 2. One of these statements is true regarding Cestode (tapeworms):


o A. Long thin unsegmented tube-like bodies with anterior mouths
and longitudinal digestive tracts.
o B. Small flat leaf-like bodies.
o C. All Cestodes (tapeworms) have separate sexes with well-
developed reproductive systems.
o D. long flat ribbon-like bodies with a single anterior holdfast
organ (scolex)

 3. Nematodes (roundworms) have a fluid-filled internal body cavity called


___________ which acts as a hydrostatic  skeleton providing rigidity.
o A. Taeniasis
o B. Acoelomate
o C. Pseudocoelum
o D. Meazoa

 4.Helminths infection can occur by one of these process:


o A. Swallowing infective eggs or larva via the fecal-oral route.
o B. Swallowing infective larvae in the tissues of another host.
o C. Active penetration of the skin by larval stages.
o D. All of the above.

 5. Most often laboratory test perform for helminths infection is __________


o A. Wet prep
o B. Examination of the stool for ova and parasites (O&P)
o C. Eosinophil antibody by PCR
o D. Fecal occult
 6. In Helminth's life cycle, a definitive host  is one in which  the
____________  occurs  or the _________ is present.
o A. Sexual cycle; adult
o B. Spore cycle; larva
o C. Asexual cycle; larva
o D. Binary fusion ; adult 
 7. One of the folllowing is true about Taeniasis?
o A. Most Taeniasis is symptomatic
o B. Taeniasis only occurs in human and cows
o C. Taeniasis specifically refers to chronic ring worm with self
mechanism to invade host immunity.
o D. Taeniasis refers specifically to infection with the adult
tapeworm in the gut of the definitive host.

 8. Human acquired  schistosomiasis  by ________


o A. Ingesting fish infected with larval stages
o B. Ingesting vegetation with larva stages
o C. Penetration of skin by larva stages from snails
o D. Ingesting crabs infected with larva stages

 9. Trichinella does not require intermediate hosts.


o A. True
o B. False

 10. Platyhelminths are the cestoda and the nematoda.


o A. True
o B. False

11. Helminths are a mulitcellular group of parasitic worms called?

o A. Protozoa
o B. Cestoda
o C. Tetrazoa
o D. Metazoa

 2. Which helminth has longthin unsegmented tube-like bodies?


o A. Cestoda
o B. Trematoda
o C. Flukes
o D. Nematoda

 3. Which helminth has a fluid-filled, internal body cavity called a


pseudocoelum?
o A. Flukes
o B. Tapeworms
o C. Cestodes
o D. Nematodes 
 4. Which helminth has only longitudinal direction muslces used for sideways
thrashing movement?
o A. Roundworms
o B. Flatworms
o C. Flukes
o D. Tapeworms 
 5. Which helminth does not have a gut or body cavity?
o A. Fluke
o B. Digenea
o C. Tapeworm
o D. Larva

 6. What bodily excrement is examined for ova and parasites of helminths?


o A. Saliva
o B. Urine
o C. Mucous
o D. Feces
 7. What WBC count is increased specifically during helminth infection?
o A. Basophils
o B. Eosinophils
o C. Neutrophils
o D. Lymphocytes

 8. What is taeniasis

o A. Fluke infection of the adult in the gut


o B. Intermediate host infection in the gut
o C. Adult tapeworm infection in the gut
o D. Nematode infection in the gut
 9. The amount of nutrients taken from host by taeniasis is negligible.
o A. True
o B. False

 10. What are the most important flukes involving development in the


intestines, lungs, liver, and blood vessels?

o A. Taeniasis
o B. Clonorchis
o C. Trichinella
o D. Schistosomiasis 
 11. Arthropods can trasmit viruses, bacteria, and protozoa.
o A. True
o B. False
 12. Prions can elicit an immune response.
o A. True
o B. False
 13. Which cellular surface is the PrPc protein predominantely expressed?
o A. Muscle cells
o B. Nerve cells
o C. Epithelium cells
o D. Intestinal cells
 14. Which is NOT true regarding properties of a prion?
o A. Large size
o B. Resistant to heat
o C. Slow replication
o D. Lack of nucleic acid genome

 15. What is the name of the infectious protein product resulting from the
conversion of PrPc? PrPSc / prion protein scrapie

 16. What is the inoculation period of sponfiform encephalopathies?


o A. Days to weeks
o B. A couple weeks
o C. Months to years
o D. Several years

 17. Prions can be spread by the use of contaminated surgical instruments.


o A. True
o B. False

 18. After crossing the mucosa, what cells transfer prions into neural tissue?
o A. Red blood cell
o B. Eosinophil
o C. Lymphocyte
o D. Macrophage

 19. Prions are most effective witin species.


o A. True
o B. False 
 20. Human vCJD and BSE are caused by the same prion strain.
o A. True
o B. False

 What is a parasite called that lives inside of your pet?

  Ectoparasite
  Endoparasite

What is the most common ectoparasite for cats and dogs?

  Fleas
  Ticks
  Leeches

Which parasite transmits heartworm?

  Mosquitos
  Ticks
  Fleas

How are tapeworms transmitted?

  Mites
  Fleas
  Feces

 True or False: When your dog has tapeworms, there are many
obvious symptoms, such as your dog scooting on the floor.

  True
  False

 A zoonotic disease is:

  A disease found primarily in zoos.


  A disease that can be passed between animals and humans.
  A disease that causes schizophrenia in cats.

It takes how many hours to fully transmit Lyme Disease from a


tick once it attaches to the host?

  1-3 hours
  10-15 hours
  24-72 hours
How did my pet get the Dipylidium tapeworm?
  Through a tick bite.
  Through a mosquito bite.
  Through ingesting a flea.

True or false: A tick bite can cause paralysis.

  True
  False

A walking dandruff mite is ...

  A mite that wears little sneakers.


  A mite that carries a walking stick.
  A Cheyletiella mite

‫ هاد القسم من شابتر‬heliminthology


20 questions
1. The main anatomic location
of Schistosoma mansoni adult worms is:

  Bone marrow

  Renal tubules

  Intestinal venules

  Lung alveoli

Each of the following statements


concerning Strongyloides stercoralis is
correct EXCEPT:

  S. stercoralis is acquired by ingestion of eggs.

  S. stercoralis undergoes a free-living life cycle in soil.

   Migrating larvae of S. stercoralis induce a marked


eosinophilia.

  S. stercoralis produces filariform larvae.


Which of the following tapeworms is acquired
by eating raw or under-cooked pork?

   Diphyllobothrium latum

   Taenia solium

   Hymenolepis nana

   Taenia saginata

Larval stage of Taenia solium is called

  cysticercus bovis

   cysticercoid

   hydatid cyst

  cysticercus cellulosae

Each of the following statements concerning


hydatid cyst disease is correct EXCEPT:

  The disease is caused by Echinococcus granulosus.

  The cysts occur primarily in the liver.

  The disease occurs primarily in tropical Africa.

  The disease is caused by a parasite whose adult form lives


in dogs’ intestines.
Each of the following statements
concerning Ascaris lumbricoides is correct
EXCEPT:

  A. lumbricoides can cause pneumonia.

  Both dogs and cats are intermediate hosts of A.


lumbricoides.
  A. lumbricoides is transmitted by ingestion of eggs.
  A. lumbricoides is one of the largest nematodes.
A 13-year-old boy from India was brought to
the emergency room with a prolapsed rectum.
Examination of the rectum reveals small
worms that resemble whips attached to the
mucosa. A stool sample reveals eggs that are
barrel shaped, with bipolar plugs. Which of the
following is the most likely cause?

   Entamoeba histolytica

   Enterobius vermicularis

   Giardia lamblia

   Trichuris trichiura

  Ascaris lumbricoides

   Echinococcus granulosus
Pigs or dogs are the source of human infection
by each of the following parasites EXCEPT:

   Taenia solium

   Trichinella spiralis

   Ascaris lumbricoides

   Echinococcus granulosus
Each of the following statements
concerning Schistosoma haematobium is
correct EXCEPT:

  S. haematobium infection predisposes to bladder


carcinoma.

  Snails are intermediate hosts of S. haematobium.

  S. haematobium is acquired by humans when cercariae


penetrate the skin.

  S. haematobium eggs have no spine.


Each of the following parasites is transmitted
by flies EXCEPT:
  Trypanosoma gambiense

  Onchocerca volvulus

  Schistosoma mansoni

  Loa loa
Children at day care centers in the United
States have a high rate of infection with which
one of the following?

  Entamoeba histolytica

  Necator americanus

  Ascaris lumbricoides

  Enterobius vermicularis
Each of the following statements concerning
hookworm infection is correct EXCEPT:

  Hookworm infection can be diagnosed by finding the


trophozoite in the stool.

  Hookworm infection can cause anemia.

  Hookworm infection is caused by Necator americanus.

  Hookworm infection is acquired by humans when filariform


larvae penetrate the skin.
The skin test used for the diagnosis of Hydatid
cyst is known as:

   Dick test

   Casoni test

   Schick test

   Montenegro test
At a school nurse's request, a clinic in rural
South Carolina sees a 9-year-old girl who
appears listless and inattentive, although
hearing and visual testing has been within
normal limits. The physician finds the child
thin, with the "potbelly" of malnutrition, and
orders a fecal exam and CBC. The CBC reveals
a microcytic, hypochrornic anemia, and the
fecal exam detects brown, oval nematode eggs
approximately 65 microns in size, too
numerous to count. What was the most likely
means by which this child was infected?

  Ingestion of larvae

  Mosquito transmission of sporozoites

  Ingestion of cysts in muscle

   Skin penetration by larvae

  Ingestion of ova
Each of the following parasites passes through
the lung during human infection EXCEPT:

   Ascaris lumbricoides

   Strongyloides stercoralis

   Necator americanus

   Wuchereria bancrofti
Four weeks after his arrival from Africa, a 24-
year-old graduate student presents with blood
in his urine. Microscopic examination of his
urine reveals the presence of eggs with
terminal spines. In the interview he admits
that he has been working on his family's rice
field occasionally since his early childhood.
The most likely etiologic agent of his
complaint is

   Schistosoma japonicum

   Schistosoma mansoni

   Entamoeba histolytica

   Schistosoma haematobium
   Fasciolopsis buski
Each of the following parasites is transmitted
by eating inadequately cooked fish or seafood
EXCEPT:

   Diphyllobothrium latum
   Ancylostoma duodenale
   Paragonimus westermani
   Clonorchis sinensis
Larval stage of Taenia saginata is called

  cysticercus bovis

  cysticercus cellulosae

   hydatid cyst

   cysticercoid
A 4-year-old boy presents to his pediatrician
with intense perianal itching. His mother
explains that the child has also been
extremely irritable during the day and has not
been sleeping well at night. Eggs with a
flattened side were identified by the laboratory
technician from a piece of scotch tape brought
in by the parent. Infection with which of the
following organisms is most likely?

   Entamoeba histolytica

  Echinococcus granulosus

  Trichuris trichiura

  Enterobius vermicularis

  Ascaris lumbricoides
The mother of a 4-year-old child notes that her
child is sleeping poorly and scratching his anal
area. You suspect the child may have
pinworms. Which one of the following is the
BEST method to make that diagnosis?
 Determine the titer of IgE antibody against the organism

  Examine the stool for the presence of cysts

  Examine transparent adhesive tape for the presence of eggs

  Examine a blood smear for the presence of microfilaria

   Examine the stool for the presence of trophozoites

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