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1. An 18-year old male patient sought consult due to fever, with hepatosplenomegaly and urticarial rashes. He recalled that three
weeks ago there were appearance of transient pruritus and skin rash immediately after exposure to a pond near rice fields. The
following are true of this case EXCEPT:
A. Infection was acquired through penetration of the parasite through the skin
B. Eggs can be the diagnostics tool for identification of the parasite
C. Paragonimus westermani
21. Hematuria is a prominent of infection with:
A. Schistosoma mansoni
C. Schistosoma haernatobium
22. The adults live in the duodenum
A. Fasciola hepatica
B. Fasciola hepatica
D. Schistosoma japonicum
B. Schistosoma japonicum
D. All of these
C. Clonorchis sinensis
D. Paragonimus westermani
23. In the life cycle of Fasciola hepatica, what dev lopraental stages occur inside the snail first intermediate host?
A. miracidium sporocyst-redia
C. redia-cercaria-metacercaria
B. sporocyst-redia-cercaria
D. sporocyst-cercaria-metacercaria
24. Mestacercaria encysted in flesh of freshwater fist is infective to definitive host
A. Fasciola hepatica
C. Clonorchis sinensis
B. Fasciolopsis buski
D. Paragonimus westermani
25. Metacercaria encysted on water chestnuts is infective to definitive host
A. Fasciola hepatica
C. Paragonimus westermani
B. Clonorchis sinensis
D. Fasciolopsis buski
26. Developmental state of Fascioloa hepatica infective to the 1 st intermediate host
A. Egg
B. miracidium
C. cercaria
D. metacercaria
27. A patient from sheep and cattle raising country developed enlarged and tender liver, jaundice, digestive disturbance and diarrhea.
He has history of eating watercress salads before the onset of symptoms. What is the most likely diagnosis?
A. Fasciola hepatica
C. Clonorchis sinensis
B. Opistorchis felineus
D. Opistorchis viverrini
28. This parasite is commonly known as the sheep liver fluke:
A. Echinostoma ilocarium
B. Clonorchis sinensis
C. Fasciola hepatica
D. Fasciolopsis buski
29. This parasite is commonly known as the Chinese liver fluke:
A. Echinostoma ilocarium
B. Clonorchis sinensis
C. Fasciola hepatica
D. Fasciolopsis buski
30. Lancet shaped and almost transparent fluke
A. Fasciola
B. Paragonimus
C. Echinostoma
D. Clonorchis
31. Ova has a flattened operculum and thickened abopercular end.
A. F. buski
B. P. westermani
C. H. heterophyes D. M. yokogawai
32. Human infection is acquired by eating uncooked freshwater crabs.
A. F. buski
B. P. westermani
C. H. heterophyes D. E. ilocanum
33. Edemic hemoprysis
A. H. heterophyes B. P. westermani
C. F. buski
D. A, B, C
B. Fasciolopsis buski
34. A 50-year old patient from Bicol came in because of an on and off fever and chronic productive cough. His chest x-ray revealed a
coin-lesion at the mid portion of the right lung field with blunting of the right costo-phrenic angle. A sputum examination revealed
golden ova with operculum. Your diagnosis of this case is
A. Schistosomiasis
B. Loafflers pneumonia C. Paragonimiasis
D. Pneumocystosis
35. Metacercaria encysted in flesh of various crustaceans (crayfish, crabs) is infective to definitive host
A. Fascioloa hepatica
C. Clonorchis sinensis
B. Fasciolopsis buski
D. Paragonimus westermani
36. Longest tapeworm of man
A. T. solium
B. T. saginata
C. D. latum
D. E. granulosus
37. Presence of 15-30 uterine branches in gravid segments:
A. T. solium
B. T. saginata
C. H. nana
D. E. granulosus
38. Larvae of D. latum infective to man:
A. procercoid larva
B. plerocercoid larva
C. cysticercoid larva
D. A & C
39. Scolex is spatulate with two sucking grooves:
A. D. latum
B. E. granulosus
C. H. nana
D. H. diminuta
40. Region of growth of cestodes:
A. scolex
B. neck
C. strobila
D. none
A. tapeworms
B. roundworms
66. Region of growth of cestodes:
A. scolex
B. neck
67. Major features of the Cestoda are, except:
A. Platyhelnunths
C. flukes
D. flatworms
C. strobila
D. none
85. Patients infected with this parasite show symptoms like neck rigidity & headache
A. Gnathostoma spinigerum
B. Angiostrongylus
C. Onchocerca volvulus
D. Dracunculus medinensis
86. The anterior half of this parasite is covered with broad leaf-like spines which are tridented
A. Gnathostoma spinigerum
B. Angiostrongylus
C. Onchocerca volvulus
D. Dracunculus medinensis
87. Loefflers syndrome is due to what stage of the causative parasite?
A. embryonated egg
B. fertilized egg
C. larvae
D. adults
88. The female parasite emerges from an ulcerated to discharge larvae
A. Gnathostoma spinigerum
B. Angiostrongylus
C. Onchocerca volvulus
D. Dracunculus medinensis
89. CSF examination shows low sugar, high protein, and high eosinophilia
A. Gnathostoma spinigerum
B. Angiostrongylus
C. Onchocerca volvulus
D. Dracunculus medinensis
90. This parasite has a reputation for being erratic:
A. Ascaris sp
C. Toxocari sp
B. Enterobius sp
D. Anisukis sp
91. The most common cause of lymphatic filariasis is
A. Wucheririae banerafti
C. Loa loa
B. Brusia malayi
D. Dirofilaria immitis
92. A 6 year old male from X was admitted to the local government hospital Y because of severe dehydration. He has history of
passing unsegmented, creamy white adult worms through the arias. This patient is most likely having a
A. nematode infection
C. trematode infection
B. cestode infection
D. protozoan infection
93. What stage in the life cycle of a nematode parasite is most likely to produce a pulmonary problem?
A. larva
B. ova
C. adult
D. larva and adult
94. Parasite/s that leave the hosts body via the sputum:
A. Paragonimus westermani
C. Trichomonas vaginalis
B. Ascaris lumbricoides
D. A & B
95. Portal of entry is thru inhalation of airborne eggs into posterior pharynx:
A. Ascaris lumbricoides
C. Shistosoma japonicum
B. Enterobius vermicularis
D. A, B, C
96. Blood-sucking insects causing malaria belong to the Genus:
A. Anopheles
B. Culex
C. Mansonia
D. Simulium
97. Cysticercus cellulosae is the immature infective stage of this parasite and acts as source of infection:
A. Taenia saginata
B. Taenia solium
C. Diphyllobothrium latum
D. Hymenolepis nana
98. The trophozoite is pyriform or teardrop shaped, pointed posteriorly with paired nuclei, one on each side of mixlline;
A. Trichomonas tenax
C. Trichomonas hominis
B. Giardia lamblia
D. Trichomonas vaginalis
99. Clinically undergo malabsorption syndrome and gastrointestinal symptoms:
A. Giardia lamblia
C. Trichomonas hominis
B. Trichomonas vaginalis
D. Trichomonas tenax
100. A larger organism that provides physical protection and nourishment is termed:
A. Host
B. Parasite
C. Parasitism
D. Spurious parasite
101. The normal habitat of Ascaris lumbricoides is the:
A. small intestine
B. cecum
C. lungs
D. appendix
102. The infective stage of Ascaris lumbricoides is the:
A. unfertilized egg
B. fertilized egg
C. embryonated egg
D. larvae
103. This roundworm causes visceral larva migrans:
A. A. lumbricoides B. Toxocara
C. Anisakis
D. Trichuris trichiura
104. This roundworm causes Loefflers Syndrome:
A. A. lumbricoides
B. Toxocara
C. Anisakis
D. Trichuris trichiura
105. Adult male and female worms live in clusters with their anterior end embedded in a crater like tumor of the gastric mucosa
A. Toxocara sp.
B. Anisakis sp
C. Ascaris sp.
D. Enterobius sp
106. An immuncompromised patient diagnosed with Acute leukemia has gross hermaturia with no other accompanying
manifestations. His urinalysis revealed red cells and a larval stage of the parasite. Patient claimed that he had bouts of diarrhea during
the last two weeks. Your most likely diagnosis of this case is:
A. Ancylostomiasis B. Strongyloidiasis
C. Necatoriasis
D. All of these
107. The stage of the parasite in number 106 infective to man in this case is
A. Rhabditiform larva
C. third stage filiform larva
B. Encysted larva
D. filariform larva
108. A 36-year old male coffee farmer from Batangas consulted in a government hospital outpatient department due to mild diarrhea
associated with vague abdominal pain of 6 days duration. There was also associated generalized body weakness and poor appetite. A
history of dry cough and soreness of the throat a few days before start of the diarrhea, was elicited. Physical examination revealed
urticaria on both feet especially the sole. Examination of blood revealed slightly decreased hemoglobin and hematocrit and mild
eosinophilia. Peripheral smear showed normocytic red blood cells with mild hypochromia. Stool examination showed thin shelled ova
in early cleavage stage. X-ray examination revealed clear lungs.
109. The most likely diagnosis in this case is:
A. Scabies
B. Filariasis
C. Hookworm Disease
D. Onchocerciasis
110. The infective stage of this parasite is the:
A. Egg
B. rhabditiform larva
C. filariform larva
D. adult
111. Appropriate management of the anemia in this case is by:
A. transfusion of packed red blood cells
C. iron-rich diet
B. ferrous sulfate tablets
D. only B & C
112. Smallest nematode worm of humans
A. Trichuris trichura
B. Capillaria philipinensis
C. Trichinella spiralis
D. Ascaris lumbricoides
113. Adult worms have a slender-filiform anterior end arid a stouter posterior portion. The appearance of which resembles a whip
A. Trichuris trichura
B. Capillaria philipinensis
C. Trichinella spiralis
D. Ascaris lumbricoides
114. Female adult worms larger than the male
A. Trichuris trichiura
B. Capillaria philipinensis
C. Trichinella spiralis
D. All of the above
115. Clinical picture of infection is intestinal malabsorption with symptoms of chronic diarrhea
A. T. trichiura
B. C. philippinensis
C. T. spiralis
D. A & C
116. Severe infection leads to rectal prolapse
A. T. spiralis
B. C. philippinensis
C. T. trichiura
D. A & B
117. The drug of choice in the treatment of falciparum malaria is
A. chloroquine only
B. chloroquine and primaquine
C. primaquine only
D. chloroquine, primaquine, and quinine
118. Which of the Ff. sexual stages of Plasmodium falciparum is infective to the intermediate host?
A. sporozoite
B. trophozoite
C. merezoite
D. gametocyte
119. Which of the following is/are associated with relapse?
A. P. vivax and P. malariae
B. P. ovale and P. vivax
C. P. ovale
D. P. falciparum and P. malariae
120. Recurrence of paroxysms after the initial attack in malariae malaria is called:
A. recrudescence
B. relapse
C. reinfection
D. all of these
121. A finding of more than 40% Heinz bodies in the peripheral blood smear means
A. the patient has a high risk of developing malarial infection
B. is concurrently positive with plasmodium infection
C. that the patient has G6PD deficiency, and therefore prone to develop hemolysis with some antimalarial drugs
D. All of these
122. Renewed manifestation of infection due to the invasion of blood by hypnozoites (dormant form of merozite).
A. Paroxysms
B. Recrudescence
C. Relapse
D. Parasitaemia
123. In the life cycle of Plasmodium, exflaggelation takes place in the
A. liver phase
C. erythrocytic phase
B. sporogonic phase
D. schizogonic phase
D. Zamboanga
D. neither
D. dog
144. A 12 year old male is brought to the ER because of changes in sensorium. Few hours ago, patient complained of severe
headache which was followed by fever, headache and vomiting. The amoeba most probably causing this presentation is:
A. Acanthamoeba
B. Naegleria
C. Balantidium
D. None
145. The largest protozoan known to infect man is the:
A. Entamoeba coli
C. Balantidium coli
B. Naegleria fowleri
D. Entamoeba histolytica
146. Blood transfusion for the management of severe anemia and hemolysis in complicated falciparum malaria would ideally be in the
form of:
A. whole blood
C. packed red blood cells
B. fresh frozen plasma
D. plasma expanders
147. Irregular and crenated red blood cells are most associated with this specie:
A. Plasmodium ovale
C. Plasmodium falciparum
B. Plasmodium vivax
D. Plasmodium malariae
148. The presence of a parasite in or on the tissues of a host. Such colonization may or may not have a deleterious effect on the host.
This is called a/an:
A. disease
B. epidemic
C. pandemic
D. any of the above
149. An infection which has always existed in a region.
A. endemic
B. epidemic
C. pandemic
D. all of the above
150. The time between the entrance of a parasite into a host and the beginning of a disease.
A. virulence
B. incubation
C. patent period
D. none