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Parasitology
Exam/Quiz 1
176
Pathology
Professional
01/22/2013

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Cards

Term
What type of species is a digenea?
Definition
Trematodes, flukes
Term
What is a definitive host?
Definition
The host animal in which a parasite passes its adult existence and/or sexual reproductive phase of its life cycle
Term
What is an intermediate host?
Definition
The animal in which a parasite passes its larval stage or asexual reproductive phase of its life cycle.
Term
How can you easily differentiate between definitive host and intermediate host?
Definition
definitive - adult life form, sexual reproductive phase

intermediate - larval stage or asexual reproductive phase
Term
What is an accidental/incidental host?
Definition
Parasite normally live on or in a host other than human
Term
What is a transport host?
Definition
Host harbors parasite and transports it from one location to another.
Term
True or False:

A parasite has the ability to reproduce within a transport host
Definition
False
Term
What is a reservoir host?
Definition
Host that harbors a parasite that also is infective to humans
Term
What is the definitive host for a roundworm?
Definition
Human
Term
What would you find at the anterior end of a nematode?
Definition
buccal capsule with hooks, plates, or teeth
Term
Male nematodes have the ability to have what two parts?
Definition
Copulatory spicule or copulatory bursa
Term
How many times do nematode larvae molt before becoming sexually mature?
Definition
4 times
Term
True or False:

Nematode larvae look similar to adults
Definition
true
Term
What is the scientific name for a pinworm?
Definition
Enterobius vermicularis
Term
What is the name for the most common nematode infection in the US?
Definition
Enterobius vermicularis (pinworm)
Term
What is the geographical distribution of a pinworm?
Definition
cosmopolitan, temperate climates
Term
What is the diagnostic stage or enterobius vermicularis?
Definition
Egg
Term
How can one differentiate between a male and female enterobius vermicularis solely based on the posterior end?
Definition
Female - pointed tail

Male - curved tail
Term
What does the anterior end of enterobius vermicularis look like?
Definition
Cephalic alae (wings near buccal capsule)

Bulbar esophagus (circle near the top)
Term
What is the pathology/symptoms of an enterobius vermicularis infection?
Definition
Perianal itching w/ loss of sleep

Appendicitis

Peritonitis
Term
What do the eggs of enterobius vermicularis look like?
Definition
Football shaped with one side being flat, dividing line may sometimes be seen in the center
Term
What is another name of Trichuris trichiura?
Definition
Whipworm
Term
What sexual organ does the male trichuris trichiura have?
Definition
copulatory spicule
Term
How does the male whipworm compare in size to the female?
Definition
Male is smaller than female
Term
What do the anterior and posterior ends of the trichuris trichiura look like
Definition
anterior - threadlike

posterior - thick like handle of a whip
Term
What is the geographical distribution for trichuris trichiura?
Definition
tropics, subtropics, appalachia, southern us
Term
What is the diagnostic stage of the whipworm (trichuris trichuria)?
Definition
egg
Term
What is the definitive host for the whipworm (trichuris trichuria)?
Definition
human
Term
What are the symptoms of a light infection from trichuris trichiura? Heavy infection?
Definition
Light - asymptomatic

Heavy - mucoid and bloody diarrhea, rectal prolapse
Term
What do trichuris trichura eggs look like?
Definition
Football shaped with openings on both ends.
Term
How can one differentiate between an ascaris and an earthworm?
Definition
ascaris has 3 lips earthworms have 2 lips
Term
What is the definitve host and diagnostic stage for ascaris?
Definition
host - human

diagnostic - fertilized, unfertilized or decorticated egg
Term
What symptoms do migrating larvae of ascaris produce?
Definition
inflammation, pneumonia, Loeffler's syndrome
Term
What symptoms do adult ascaris produce?
Definition
intestinal blockage, nausea, vomiting, peritonitis
Term
What are toxocara?
Definition
Companion animal ascarids, seen in cats and dogs (cati/canis)
Term
How can you differentiate between a fertilized and unfertilized ascaris egg?
Definition
Fertilized - more circular, contains bumpy outer layer (mammilated layer)

Unfertilized - elongated/ovular, does not contain mammilated layer
Term
If the outer layer is missing on a fertilized ascaris egg, what is it?
Definition
A decorticated egg
Term
What causes visceral larval migrans?
Definition
Accidental infection of cat/dog ascarids
Term
Enterobius vermicularis Dx stage?
Definition
Gravid female migrates to perianal region to lay eggs.

"Eggs on scotch tape"
Term
How does one become infected by enterobius vermicularis?
Definition
Eggs ingested (hand-to-mouth)
Term
What region is an infection with enterobius vermicularis most common?
Definition
cosmopolitan, temperate climates
Term
Where do enterobius vermicularis adults live?
Definition
Colon
Term
True or False:

Male species of enterobius vermicularis are larger than females.
Definition
False
Term
True or False:

One way to differentiate between male and female enterobius vermicularis species is the tail. The males have a curved tail while the females have a pointed tail.
Definition
True
Term
A stool sample is brought to the lab and shows undeveloped eggs within the feces. If you knew that this was a nematode infection, which species would the patient be infected with. (More than one)
Definition
Trichuris trichiura

Ascaris lumbricoides
Term
True or False:

Trichuris trichiura live in the colon and the posterior end embeds in the mucosa
Definition
False:

Everything is true except the anterior end embeds in the mucosa, not posterior
Term
Which species is known to cause rectal prolapse and anemia?
Definition
Trichuris trichiura
Term
You perform a fecal smear and find decorticated eggs, and oblong eggs with a rough surface. Which species is present?
Definition
Ascaris lumbricoides
Term
How does a human become infected with ascaris lumbricoides?
Definition
Infective eggs are ingested
Term
Which nematode is known for the liver-lung migration?
Definition
Ascaris lumbricoides
Term
True or False:

Ascaris lumbricoides lives in the colon
Definition
False:

Small intestines
Term
Loeffler's syndrome is associated with which nematode? Which stage of the infection causes this?
Definition
Ascaris lumbricoides migrating larvae
Term
Visceral larval migrans is associated with which nematode?
Definition
Toxocara cati/canis
Term
Ancyclostome duodenale is likely to infect a person living in which geographical location
Definition
All areas except north america
Term
True or False:

You cannot differentiate between hookworm species.
Definition
True
Term
What is the infective stage of a hookworm?
Definition
Filariform larvae
Term
With a hookworm, an embryo develops into what after the 1st molt?
Definition
Rhabditiform larvae
Term
A hookworm Rhabditiform larvae molts twice to become...
Definition
Filariform larvae
Term
How do humans become infected with hookworms?
Definition
Filariform larvae penetrates the skin of humans
Term
Where do hookworms live at inside of the human?
Definition
Small intestine
Term
Ground itch is associated with what type of worm?
Definition
Hookworm
Term
Intraalveolar hemorrhaging is associated with what type of worm?
Definition
Hookworm
Term
Which white blood cell is likely to increase when infected with a hookworm?
Definition
Eosinophil
Term
How does cutaneous larval migrans come about? What does it look like?
Definition
Becoming infected witha hookworm species that does not have a human as its definitive host.

Creeping eruption "seeing worm at surface"
Term
True or False:

The male strongyloides stercoralis lives in the small intestine.
Definition
False:

There is not such thing as a male strongylodies stercoralis, however, the female does live in the small intestine
Term
How can a strongyloides stercoralis infection be diagnosed?
Definition
Rhabditiform larvae
Term
Under a microscope you observe one slide and see a short buccal capsule nematode, on another slide you see a similar species only this buccal capsule appears longer. Which species are present on the slides, respectively?
Definition
1) Strongyloides rhabditiform larvae

2) Hookworm rhabditiform larvae
Term
The infective stage of strongyloides stercoralis is the...
Definition
Filariform larvae
Term
Strongyloides stercoralis have the ability to auto reinfect. Specifically, what does this mean?
Definition
Larvae develop to infective stage in intestine
Term
Strongyloides stercoralis enter the body by...
Definition
penetrating the skin and entering the lymphatics or the blood stream
Term
How does strongyloides stercoralis pose a major threat to humans?
Definition
If one is immunocomprimised, strongyloides stercoralis can be fatal because of autoreinfection.
Term
Where can trichinella spiralis larvae be found? Adults?
Definition
Striated muscle

intestines
Term
How does a doctor diagnose a patient with trichinella spiralis?
Definition
By finding coiled larvae within the striated muscles during a muscle biopsy
Term
What is the infective stage of trichinella spiralis?
Definition
encysted larvae in muscles
Term
How does one become infected with trichinella spiralis?
Definition
Ingestion of undercooked meat containing encysted larvae
Term
What geographical region would you be able to find Dracunculus medinesis?
Definition
Middle East (Areas of dirty water)
Term
Dracunculus medinesis has an intermediate host. What is it?
Definition
copepod
Term
How does one get infected with the guinea worm?
Definition
By drinking watered that has infected copepods
Term
What are the two major symptoms associated with dracunculus medinesis?
Definition
Allergic reaction during migration and

Papule developing into blister that ruptures causing secondary bacterial infection
Term
What is the vector for onchocerca volvulus?
Definition
Simulium (black fly)
Term
What is the vector for loa loa?
Definition
Chrysops (deer fly)
Term
What is the vector for grugia malayi?
Definition
Mansonella and/or Anopheles

(mosquitos)
Term
What is the vector for Wuchereria bancrofti?
Definition
Culex, Aedes, and/or Anopheles

(mosquitos)
Term
What is the intermediate host for filarial worms?
Definition
arthropod vector
Term
What is the diagnostic stage for filarial worms?
Definition
Microfilariae in the blood or skin
Term
How can one be diagnosed with a Wuchereria bancrofti infection?
Definition
Finding microfilariae with no tail tip nuclei in night blood
Term
How can one be diagnosed with a loa loa infection?
Definition
Finding microfilariae with two elongated nuclei in the tail tip (day blood)
Term
How can one be diagnosed with a brugia malayi infection
Definition
Finding microfilariae with 2 round tail tip nuclei that are not continuous
Term
What two filarial worms are associated with elephantiasis?
Definition
Wuchereria bancrofti and Brugia malayi
Term
Which filarial worm causes granulomatous reactions?
Definition
Loa loa
Term
Which filarial worm causes fibrotic nodules which encase the adults?
Definition
Onchocerca volvulus
Term
Mansonella species all have an intermediate host, what is it?
Definition
Culicoides or midge
Term
What is the strobila?
Definition
Body of a cestode
Term
What is the scolex?
Definition
Holdfast organ of a cestode
Term
Proglottid?
Definition
Segment of a cestode
Term
Onchosphere?
Definition
Cestode egg
Term
Which cestode has a retractable rostellum with a single row of 20-30 hooks?
Definition
Hymenolepis nana
Term
What does a mature segment of a Hymenolepis nana look like?
Definition
3 testes, bilobed ovary
Term
What is/are the transport host(s) for hymenolepis nana?
Definition
fleas and beetles
Term
What is the diagnostic stage of hymenolepis nana?
Definition
Egg in feces
Term
What is the infective stage of hymenolepis nana?
Definition
Egg
Term
What is the intermediate host for hymenolepis nana?
Definition
Trick question, does not require an intermediate host
Term
What is/are the definitive host(s) for hymenolepis nana?
Definition
Humans and mouse
Term
Cysticercoid larvae formation is associated with what type of helminth?
Definition
Hymenolepis nana
Term
What are the symptoms associated with hymenolepis nana infection?
Definition
Common gastrointestinal symptoms
Term
What is the definitive host of hymenolepis diminuta?
Definition
Rat
Term
What is/are the intermediate host(s) of hymenolepis diminuta?
Definition
Flea, grain beetle
Term
What is the difference between a hymenolepis diminuta egg and a hymenolepis nana egg?
Definition
Nana eggs have polar filaments and diminuta eggs do not
Term
Under a microscope Taenia saginata's proglottid region differs from Taenia solium's proglottid region because...
Definition
Saginata's proglottid region contains 15-30 lateral uterine branches

Solium's proglottid region has 7-12 lateral uterine branches
Term
If a taenia species has hooks on its scolex, it is said to be which species, solium or saginata?
Definition
Taenia solium
Term
What is/are the intermediate specie(s) for taenia solium and saginata?
Definition
Cow or pig depending on which species

Solium - pork

Saginata - beef
Term
What is the infective stage of both taenia species?
Definition
Cysticercus larva
Term
True or False:

Taenia saginata eggs are not infective to humans and cannot cause cysticercosis.
Definition
True
Term
Adult taenia species are found where in the human body?
Definition
Small intestine
Term
What is the pathology/symptoms of a taenia infection?
Definition
Depends on where larvae are. Generally, it causes organ specific symptoms
Term
Which species is known as the broadfish tapeworm and has a fingershaped scolex with longitudinal ventral and dorsal areas.
Definition
Diphyllobothrium latum
Term
What is the geographical distribution of diphyllobothrium latum?
Definition
Anywhere where freshwater fish are eaten
Term
What is/are the intermediate host(s) for diphyllobothrium latum?
Definition
1st - copepod

2nd - freshwater fish
Term
What is the Dx stage of diphyllobothrium latum?
Definition
Egg
Term
What is the infective stage of diphyllobothrium latum?
Definition
Procercoid develops into pleurocercoid larvae in fish muscle
Term
Which species is associated with plerocercoid?
Definition
Diphyllobothrium latum
Term
How are humans infected with diphyllobothrum latum?
Definition
Ingesting undercooked freshwater fish
Term
Vitamin B12 deficiency is associated with what species?
Definition
Diphyllobothrium latum
Term
Which tapeworm is known as the 3/tri-segmented worm?
Definition
Echinococcus granulosus
Term
What is the definitive host for echinococcus granulosus?
Definition
Dog
Term
What is the intermediate host for echinococcus ganulosus?
Definition
Sheep and herbivores
Term
What is the infective stage for echinococcus granulosus?
Definition
egg from dogs
Term
What is the diagnostic stage for echinococcus granulosus?
Definition
Hydatid cyst in Liver, lung, or other organs
Term
What is the microscopic appearance of a dipylidium caninum adult?
Definition
Scolex with retractable pointed rostellum with genital pore on each side of the proglottid.
Term
What is/are the definitive host(s) for dipylidium caninum?
Definition
Dog cat and sometimes humans (usually children)
Term
What is the intermediate host for dipylidium caninum?
Definition
Flea
Term
What is the infective stage for dipylidium caninum?
Definition
Eating an infected flea
Term
What is the diagnostic stage for dipylidium caninum?
Definition
cucumber seed segments, eggs in egg packets
Term
Acetabulum?
Definition
Ventral sucker
Term
Where can you find fasciolopis buski in the human body?
Definition
small intestine
Term
How can you differentiate between fasciolopis buski and fasciola hepatica?
Definition
Fasciola hepatica has a cephalic cone and is known as the sheep liver fluke
Term
What is the geographical distribution of fasciolopis buski and fasciola hepatica?
Definition
buski - asian countries

hepatica - sheep/cattle raising areas other than US
Term
What is/are the definitive host(s) for fasciolopis buski?
Definition
Human and pig
Term
What is/are the definitive host(s) for fasciola hepatica?
Definition
Human and sheep
Term
What is the intermediate host for fasciolopis and fasciola?
Definition
Snail
Term
How can you tell the difference between the fasciolopis buski and gasciola hepatica egg?
Definition
buski - more rounded

hepatica - more flattened
Term
What is the diagnostic stage for fasciolopis buski and fasciola hepatica?
Definition
unembryonated egg in feces (both species have similar morphology)
Term
What is the Ix stage for fasciolopis buski and fasciola hepatica?
Definition
metacercarie on fresh water plant
Term
Miracidium?
Definition
Motile form of trematode which becomes sporocyst
Term
Metacercaria?
Definition
Encysted resting cercaria
Term
How do humans become infected with fasciolopis buski or fasciola hepatica?
Definition
By eating metacercariae from uncooked water plants
Term
Where can one find Fasciolopis buski in the human body? Fasciola hepatica?
Definition
buski - small intestine

hepatica - bile duct
Term
What is the pathology of fasciola hepatica?
Definition
Typical liver disorders (enlargement, jaundice, pain)
Term
How can a doctor diagnose fasciolopis buski and fasciola hepatica?
Definition
finding eggs in feces or seeing worm on x-ray
Term
What does the egg of a clonorchis sinesis look like?
Definition
Round egg with shouldering, knob at posterior end
Term
What are the two intermediate hosts for clonorchis sinesis?
Definition
snail

fish
Term
What are the definitive hosts for clonorchis sinesis?
Definition
humans, dogs, cats
Term
What is the diagnostic stage for clonorchis sinesis? Infective stage?
Definition
diagnostic - egg in feces

Infective - metacercariae in fish
Term
What is the pathology for clonorchis sinensis?
Definition
Hepatomegaly, abdominal tenderness, jaundice, liver cancer
Term
Gonotyl?
Definition
Sucker surrounding the genital opening
Term
Gynecophoral canal?
Definition
Cleft in a male schistosome where a female resides
Term
Cercariae?
Definition
Free-floating larvae fluke in which it is going from one intermediate host to another intermediate host or from an intermediate host to its definitive host
Term
What is the intermediate host for Heterophyes heterophyes and Metagonimus yokogawai?
Definition
Snail, then fish
Term
diagnostic stage for heterophyes heterophyes and metagonimus? Infective stage?
Definition
Egg in feces

Metacercariae in fish
Term
What is the pathology of a heterophyes heterophyes and metagonimus yokogawai infection?
Definition
chronic mucous diarrhea, granuloma formation around the eggs in other organs
Term
Which oriental fluke is known as the fluke in the lungs?
Definition
Paragonimus westermani
Term
What is the microscopic view of paragonimus westermani?
Definition
Acetabulum in the middle, golden brown color, heavily granulated, shaped like football
Term
What are the two intermediate hosts for paragonimus westermani?
Definition
Snail, then freshwater crab/crayfish
Term
Diagnostic stage for paragonimus westermani?
Definition
Egg in sputum or feces, adults in lung
Term
Infective stage for paragonimus westermani?
Definition
metacercariae in crab or crayfish
Term
method of infection for paragonimus westermani?
Definition
humans eat metacercariae from undercooked crab or crayfish
Term
Where in the body would you find paragonimus westermani?
Definition
Encysted in the lungs
Term
How many testes does each of the following schistosomes have:

Mansoni
Japonicum
Haematobium
Definition
Mansoni - 6-9
Japonicum - 7
Haematobium - 4-5

*Alphabetical order will help you keep track of the number of testes

(4-5 for H, 7 for J, 6-9 for M)
Term
Schistosome eggs have spines. Describe the spine morphology of the following schistosomes:

Mansoni
Haematobium
Japonicum
Definition
Mansoni - long lateral (on side)
Haematobium - long terminal (on back end)
Japonicum - short lateral
Term
What is/are the intermediate host(s) for schistosoma species?
Definition
Snail is only intermediate host
Term
Diagnostic stage for schistosoma species?
Definition
Egg in feces or urine

(Mansoni and japonicum in feces, haematobium in urine)
Term
Infective stage for schistosome species?
Definition
skin penetration by cercariae
Term
What is the pathology for schistosoma species?
Definition
Hematuria, liver-pipestem fibrosis, collateral circulation
Term
Which schistosome species is correlated with bladder cancer?
Definition
haematobium
Term
True or FAlse:

Schistosoma mansoni and haematobium are correlated with peresistent salmonella infections.
Definition
False

Mansoni and japonicum are associated with salmonella NOT haematobium
Term
Swimmers itch is associated with which species of helminth?
Definition
Schistosomes
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