The formalin-ethyl acetate sedimentation concentration procedure for feces is .

1
:used to

.A. demonstrate motility of helminth larvae

.B. demonstrate protozoan cysts and helminth eggs

.C. demonstrate motility of protozoan trophozoites

.D. None of the above

:The Baermann culture technique for human feces helps to concentrate .2

.A. Enterobius vermicularis eggs

.B. Trichinella spiralis larvae

.C. Strongyloides stercoralis larvae

.D. Ascaris lumbricoides larvae

3. The miracidial hatching test helps to demonstrate the viability of:

.A. eggs of Taenia species

.B. eggs of Schistosoma species

.C. eggs of hookworm species

.D. eggs of Opisthorchis

Left, S. mansoni; Middle, S. haematobium; Right, S. japonicum

The Harada-Mori and Petri dish culture techniques are specialized techniques .4
:recommended for the recovery of

.A. Onchocerca volvulus

.B. Entamoeba histolytica

.C. Strongyloides stercoralis

D. Onchocerca volvulus.

After India ink injection, the gravid proglottids of which cestode contain seven .5
?to thirteen branches on each side

A. Taenia saginata

B. Taenia solium

C. Diphyllobothrium latum

D. Dipylidium caninum

A 24-hour unpreserved urine specimen when properly concentrated may be .6

:an acceptable specimen to detect the presence of

.A. Schistosoma japonicum eggs

.B. Schistosoma haematobium eggs

.C. Schistosoma mansoni eggs

.D. Fasciolopsis buski eggs

Examination of stool specimens would not be effective for the identification . .7

:of

.A. Trichuris trichiura

.B. Ascaris lumbricoides

.C. Strongyloides stercoralis

.D. Trichinella spiralis

8 . A useful concentration technique used to detect microfilariae is the:

.A. Baermann's method

.B. formalin-ethyl acetate concentration method

.C. membrane filter method

.D. miracidial hatching method

:The zinc sulfate concentrate may not allow detection of .13

.A. Giardia lamblia cysts

.B. eggs of Trichuris trichiura

.C. rhabditiform laarvae of Strongyloides stercoralis

.D. Infertile ova of Ascaris lumbricoides

?Which is not a pathological effect of helminth infections

A. Diarrhea B. Hemorrhage C. Enlargement and swelling of organs
D. Anemia E. Weight loss
?How do humans acquire trichinosis .25
A. By walking barefoot through areas where cats or dogs have defecated
B. By self-inoculation
C. By frequent contact with a dog's fur, paws, and tongue
D. By eating the uncooked meat of an infected animal
E. By a bite from a vector
?What helminthic infection results in elephantiasis .26
A. Bancroftian filariasis B. Strongyloidiasis C. Trichinosis D. Whipworm
infection
?What is the intermediate host for the schistosomes .27
A. human B. Soil C. snail D. Blood-sucking insects E. raw swage
What is Taeniasis .28
A. fluke infection of the adult in the gut B. Intermediate host infection in the gut
C. Adult tapeworm infection in the gut D. Nematode infection in the gut
:One of the following protozoa are sexually transmit .29
A. Trichomonas vaginalis B. P. falciparum C. Entaboeba coli
D. Toxoplasma gonadii
:Victim of Cryptosporidial infections are associated with .30
A. respiratory troubles B. nasal block
C. Intestinal block D. diarrhea lasting for 10 days
:Malaria caused by .31
A. Plasmodium B. Cercaria C. ova D. Sporozoites E. Merozoites
:Muscle biopsy used to detect one of these parasite in muscle tissue .32
A. Trichinella B. Cryptosporidium C. Pneumocystis D. Difilaria
?What is the most common protozoa isolated from fecal in clinical specimens .33
A. Trypanosoma cruzi B. Leishmania donovani C. Giardia lamblia
D. Trichomonas vaginalis E. Trypanosoma brucei
.______ Giardia is a/an that invades the .34
A. flagellate, large intestine B. ameba, small intestine C. ciliate, large intestine
D. flagellate, small intestine
Blood flagellates are transmitted by .35
A. mosquito bites B. insect vectors C. bug feces D. sand
fleas
Antihelminthic medications work by .36
A. paralyzing the worm B. disrupting the worm's metabolism C. causing
vomiting D. both a and b
Hookworm diseases are spread by .37
A. the feces of human B. Mosquito bite C. Contaminated food D. Microscopic
inverterbrate in drinking water
Trichinosis can only be spread from human to human by .38
A. cannibalism B. Files C. Raw pork D. Contaminated water
The swelling of limbs typical of elephantiasis due to .39
A. allergic reaction to the filarial worm B. granuloma development due to
inflammation by parasites
C. lymphatic circulation being blocked by filarial worm D. heart and liver failure due
to infection

:To answer questions 36-40, match the following

parasite diagnostic method

D (40 Enterobius vermicularis A. Macroscopic
) identification of
adults passed in
stool or through
the mouth or
nose

C (41 S. S.mansoni B. X-ray or other body

) scans
A (42 Necator americanus C. The egg has
) characteristic lateral
spine
E (43 A. lumbricoides D. Scotch Tape Prep
 )
B ( 44 Echinococcus granulosus E. seen in old stool
) specimens

45. Significant differences exist between hard and soft ticks:EXCEPT

A. Hard ticks have a hard scutum on their backs,while soft ticks do not
B. Hard ticks have sexual dimorphism soft ticks do not
C.both lives in open enviroment
D.hard ticks take several days for one feeding,while soft ticks continually take
blood meals
E. soft ticks live longer than hard ticks
46.Soft ticks are vector for one of these diseases:
A. Lyme disease B. Spotted fever rickettsiosis C. RMS D. Q-fever

47. Dog ticks may bring slow paralysis, similar to that of the Guillain-Barre
Syndrome,
A. True B. False
48.Which statment is not true?
A. both the nymphal and adult stages of most species of ticks are capable of infecting
a host organism with variety of disease agents
B. Nymphal forms of ticks are more easy to discover on the body
C. they are perfectly capable as vectors for many infectious diseases
D. result in acute or chronic disease with lasting effects in humans
49. Some species of ticks are efficient vectors of more than one infectious agent.
A. True B. False
50. Dermacenter andersoni vector for:
A. RMSF B. Tularemia C. Both D. Neither
51. Questing is
A. a method by which ticks attached to animal C. Both
B. A method by which ticks take blood meal D. Nethier

57. Brucellosis a disease that may be spread by

A. lice bite B. fleabite C.both D. Neither

58. Infective stage in ticks cycle

A. adult female's dropoff host to lay eggs B.larva attached and feed to first
host
C. Nymph attached to second host D. any two of above E. All of
above
59. The term used for those on whom ectoparasites are living is called
A. infestation B. infection C. transformation D. transduction
60.What time of the year are disease carrying ticks most abundant :
A. February- April B. May-July C. August- September D. October-
December
61. Ticks secreted substances into skin; EXCEPT
A. Cementing substance B. Immunosuppressive C. Anti-
inflammatory
D. antibiotics E. Anticoagulant
63. General principle of prevention of parasitic diseases
 A.Wash hands with soap and water before handling food
B.When traveling to areas where sanitation and hygiene are poor, avoid water or
food that may be contaminated
C.Wash, peel or cook all raw vegetables and fruits before eating
D. All of above
64. The adult worms of T. solium reside or inhabit the upper jejunum.
A.True B. False

65. Echinococcosis is caused by larval tapeworms.

A.True B. False

Match the following from 66-70

Method of infection

66 C faeco-oral A.
Trichinella
spiralis
68 A undercooked food B.
Ancylostoma
duodenale
69 E arthropod vector C. Ascaris
lumbricoides
69 B direct penetration D.
Trichomona
s vaginalis
70 D Direct contact E. malaria

71. Flukes are tissue helminthes that are not:

A. penetrate skin B. Emerge from snails that swim in water C. mature outside the
venous system
D. loses their tail and change into a form that can enter the bloodstream after they
burrow in the skin
72. Schistomasis symptoms, Except
A. Rush B. Constipation C. Loss of bladder D. Diarrhea E. obstruction of
blood glow
73. Which describe tapeworms?
A. long and ribbon like B. Composed of circular segments C. Meraphroiditic
D. Each segment needs the other in order to reproduce, metabolize and consumption
food
74. What are the characteristics of pathogensis of the African sleeping sickness
parasite?
A. Systematic illness develops with fever after weeks or months after bite
B. Parasite not present in bloodstream
C. Patients have abouts of parasitemia, after which the dominant surface antigen
changes
D. Parasite invade CNS, months to year after bite E. naturally fatal
75. Most tape worm infections are:
A. asymptomatic B. can lead to vitamin B deficiency and anemia C. can cause
sever CNS manifestations D. (A) & (B) are correct E. All are correct
76. Why is the lifecycle of the helminths considered complex? Because:
A. They need the perfect host.
B. The host must have both the definitive and intermediate stage in order to complete
the life cycle.
C. Both D. Neither

77. The truth of life cycle of the trematode is/are:

A. adult---->egg----> miracidium ----> redia----> rediae -----> cercaria ---->

metacercaria 
B. Egg ---> larvae----> hydatid cysts containing brood capsules---> (broodcapsules
with scolecses) 
C. human is not the definitive host
D. (A) & (B) are correct
E. All correct

:Tapeworm (cestode) characteristics are .78

 A. The region that attaches on is the head (scolex) region and attach to intestinal tract
 B. Usually have suckers or hooks not both
C. the segments have male and female components
D. any two of above E. all of above
?The tapeworm is dangerous because .79
A. it can transport itself to different part of the body
B. can get into circulatory system
C. Humans infected when they eat beef
D. any two of above E. all of above
Hydatids of E. Granulosa may travel to other parts of the body such as:except .80
A. the liver,lungs,bones and brain
B. material may cause cyst may cause anaphylactic shock
C. enter host through feet or legs
D. it will engorge with fluid and exert pressure on organs
E. rupture of cyst release infective units
Nematodes- roundworms are: EXCEPT .81
A. larva or eggs are infective B. Cylinerical tapered bodies
C. male and female separate and have to come together to reproduce
D. Microscopic examination of eggs in urine
Roundworm life cycle: pin worm .82
A. .common in children B. spread through bedding, clothing and contaminated hands
b. both
:One of the following is not belonge to tissue and blood dwelling nematodes .83
A. A. lumbricoides B. Trichinella C. Dracunculus medinensis D. Filarial worms
?Which is the diagnostic stage of A. Lumbricoides .84
A. Ingested eggs hatch in the duodenum B. circulate in the blood C. descend
to the esophagus D. Reach small intestine E. Female pass immature eggs
:Loeffler’s syndrome is the symptom of .85
A. Hookworms B. Ascaris lumbricoides C. Strongyloides stercoralis D.
Toxoplasmosis
?Which of the following is true regarding urinary Schistosomiasis .86
a) It is endemic in Brazil and Venezuela
.b) It is marked by diarrhea and hepatosplenomegaly
c) It is caused by the parasite Schistosoma mansoni
.d) It is transmitted by the Bulinus species of mollusc
.e) It may lead to subacute appendicitis

a) Monthly treatment with Praziquantal for high-risk populations

b) Mosquito nets
c) Monthly treatment with Praziquantal for all school-age children
d) Treating water with molluscicides
e) Improved facial hygiene
?Which of the following does not accurately describe Lymphatic filariasis .88
A. It mainly affects the lower limb B. Chyluria is the most common
manifestation
C. The intermediate vector is the mollusc D. It is caused by the parasitic worms
Wuchereria bancrofti and Brugia malayi E. Treatment involves yearly doses with
both albendazole and diethylcarbamazine
Onchocerciasis or “river blindness” is caused by the filarial worm .89
?Onchocerca volvulus. Which of the following statements about O. volvulus is false
A. Black flies transmit the mature larval forms of O. volvulus to humans
B.Female worms produce embryonic microfilariae that swarm underneath of the
epidermis and can enter the eye
C. Infection with O. volvulus causes itchy cutaneous lesions, skin rashes and
depigmentation
D. The worm is encased in fibrous tissue that can present clinically as palpable
subcutaneous nodules
E. Ocular lesions associated with O. volvulus infection can decrease visual acuity or
cause total blindness
All of the following worms or hookworms can cause soil transmitted .91
:helminthiases except
a) Ascaris lumbricoides b) Necator americanus c) Dracunculus medinensis
d) Trichuris trichiura e) Ancylostoma duodenale
:One of the following parasites does not match the causes .92
.A. Schistosoma mansoni: causes intestinal schistosomiasis
.B. Schistosoma haematobium: causes vesical (urinary) schistosomiasis
C. Schistosoma japonicum: causes Bilharziasis
D. Ancylostoma duodenale: causes Pneumonitis
One of the following can causes squamous cell carcinoma in the bladder .93
A. S. Haematobium B. Enterobius vermicularis C. Taenia saginata D.
Strongyloides stercoralis