A 24 year old female patient was given mebendazole because unfertilized ascaris ova

were found on her feces, which of the following is/are helpful in the diagnosis?
A) Abdominal xray showing tramway sign
B) Barium swallow showing string sign
C) Presence of larvae in sputum
D) Any of the other choices
ANSWER: D
A 6-year-old child was brought to the clinic due to diarrhea. In the stool analysis
which of the organisms may be seen?
A) Trichuris trichiura only
B) Capillaria philippinensis only
C) Both Trichuris trichiura and Capillaria philippinensis
D) None of the choices are correct
ANSWER: C
A non-human hookworm with dog as definitive host infects humans:
A) A. duodenale
B) A. braziliense
C) N. americanus
D) None of the other choices
ANSWER: B
Accole’ forms are seen in :
A) P. vivax
B) P. ovale
C) P. malariae
D) P. falciparum
ANSWER: D
An overhanging sheath is fund in:
A) male Thrichenella spiralis
B) male Capillaria philippenensis
C) female Trichuris trichiura
D) male Trichuris trichiura
ANSWER: B
Anemia is associated with:
A) Trichinella spiralis
B) Capillaria philippenensis
C) Trichuris trichiura
D) All of the choices are correct
ANSWER: C
Attachment is through intestinal mucosa
A) Trichinella spiralis only
B) Capillaria philippinensis only
C) Trichuris trichiura only
D) Both T. spiralis and T. trichiura
E) Both T. spiralis and C. philippinensis
F) None of the choices
ANSWER: F
Barber’s pole appearance is seen in:
A) Anisakis
B) Angiostrongylus
C) Toxocara
D) Gnathostoma
ANSWER: B
Bipolar mucus plugs
A) Trichinella spiralis only
B) Capillaria philippinensis only
C) Trichuris trichiura only
D) Both T. spiralis and T. trichiura
E) Both T. spiralis and C. philippinensis
F) None of the choices
ANSWER: C
Blackwater fever was thought to be related to the intake of:
A) Fansidar
B) Quinine
C) Pyrimethamine
D) Chloroquine
ANSWER: B
Capillaria philippinensis may be diagnosed through which of the following:
A) Bachman intradermal test only
B) Bentonite flocculation test only
C) Both Backman intradermal and Bentonite flocculation test
D) None of the choices is correct
ANSWER: D
Characterized by sudden fall in blood pressure:
A) Algid malaria
B) Black water fever
C) D.I.C
D) None of the choices are correct
ANSWER: A
Cloaca in the roundworms is found in:
A) Digestive system
B) Reproductive system
C) Both reproductive and digestive system
D) None of the choices are correct
ANSWER: C
Cochi-China diarhea is caused by:
A) A. lumbricoides
B) N. americanus
C) S. stercoralis
D) E. vermicularis
ANSWER: C
Comparison of N. americanus and A. duodenale:
A) N. americanus adult has shorter life span
B) Both adults inhabit jejunum
C) A. duodenale prefers percutaneous route of infection
D) N. americanus causes more blood loss
ANSWER: B
Contains more than 1 chromatin dot except:
A) Mature trophozoite
B) Growing schizont
C) Young schizont
D) None of the choices
ANSWER: D
Creeping eruptions are:
A) Forms of intestinal lesions
B) Complication of ascariasis
C) Due to migration of larvae
D) Any of the other choices
ANSWER: C
Decorticated ascaris egg is characterized by:
A) Presence of albuminous coat
B) Brown color
C) Colorless without albuminous coat
D) Brown with lamellated shell
ANSWER: C
Detection of plasmodial lactate dehydrogenase and histidine rich protein is the
principle in:
A) Rapid diagnostic tests
B) Polymerase chain rection
C) Malarial microscopy
D) Serology
ANSWER: A
Dog hookworm
A) caninum
B) A. brazilense
C) Toxocara canis
D) Toxocara cati
ANSWER: A
During the intestinal phase of hookworm infection, patients can manifest with:
A) Pallor
B) Easy fatiguability
C) Pale palpebrae
D) Any of the other choices
ANSWER: D
Eggs of Toxocara resemble eggs of:
A) Trichuris
B) Enterobius
C) Ascaris
D) Paragonimus
ANSWER: C
Embryonation of Gnathostoma eggs occur in:
A) Soil
B) water
C) snall
D) migratory bird
ANSWER: B
Enterobius vermicularis is transmitted via:
A) Inhalation
B) Ano-oral sex
C) Autoinfection
D) Any of the other choices
ANSWER: D
Feeding stage for S. stercoralis
A) Rhabditiform larva
B) Filariform larva
C) Eggs
D) Any of the other choices
ANSWER: A
Fever may occur earlier than 48 hours:
A) P. falciparum
B) P. vivax
C) P. ovale
D) P. malariae
ANSWER: A
Glycophorin A and B recepors in RBC surface are involved in:
A) P. falciparum
B) P. vivax
C) P. ovale
D) P. malarieae
ANSWER: A
Ground itch lesion in hookworm infection is charactrized by:
A) Dermatitis
B) Hand webs involvement
C) Anemia
D) Any of the other choices
ANSWER: A
Growing schizont may contain 3-15 chromatin dots:
A) P. vivax
B) P. ovale
C) P. vivax and P. ovale
D) None of the choices
ANSWER: D
Habitat of adult A. cantonensis in the final host
A) Lung
B) small intestine
C) large intestine
D) lungs
ANSWER: A
Herringworm pertains to :
A) Ancylostoma
B) Anisakis
C) Toxocara
D) Angiostrongylus
ANSWER: B
Host cells are likely to be young erythrocytes instead of old ones.
A) Malignant tertian
B) Bennign tertian
C) Both benign and malignant tertian
D) None of the choices
ANSWER: B
How can you advocate prevention of parasitic infection?
A) Public education
B) Ensure proper waste excreta disposal
C) Ensure clean water source
D) Any of the other choices
ANSWER: D
How does man get herring disease ?
A) Ingestion of 3rd stage larva in the flesh of raw fish
B) Ingestion of encysted metacercaria
C) Skin penetration of cercaria
D) Bite of mosquito vector
ANSWER: A
How is the degree of parasitemia computed as number of parasites per uL ?
A) Number of parasites x 8000 / WBC
B) Number of WBC / 800 / number of parasites
C) Number of parasites x 800 / WBC
D) The degree of parasitemia is useless to do.
ANSWER: A
Hyperinfection with S. stercoralis involves:
A) Adult worms
B) The lungs
C) A more severe clinical presentation
D) Any of the other choices
ANSWER: D
In Harada-Mori culture, the following is demonstrated:
A) Adult parasite
B) Hatching of eggs into larvae
C) Embryonation of eggs
D) Laying of eggs
ANSWER: B
Infective stage of the roundworms to human
A) Embryonated stage only
B) Third stage larvae only
C) Both embronated egg and 3rd stage larvae
D) None of the choices are correct
ANSWER: C
Least common cause of malarial infection in man
A) Malignant quartan malaria
B) Malignant tertian malaria
C) Benign quartan malaria
D) Benign tertian malaria
ANSWER: D
Loeffler syndrome
A) Trichinella spiralis only
B) Capillaria philippinensis only
C) Trichuris trichiura only
D) Both T. spiralis and T. trichiura
E) Both T. spiralis and C. philippinensis
F) None of the choices
ANSWER: B
Malaria can produce damage to the following organs:
A) Kidney
B) Brain
C) Liver
D) All of the choices are correct
ANSWER: D
Maltese’ cross is seen in:
A) WBCs
B) RBCs of malaria
C) RBCs of babesiosis
D) Plateltet
ANSWER: C
Multiple rings/cell (only young rings, gametocytes, and occasional mature schizonts
are seen in peripheral blood)
A) P. falciparum
B) P. vivax
C) P. malariae
D) B. microti
ANSWER: A
Muscle pseudohypertrophy
A) Trichinella spiralis only
B) Capillaria philippinensis only
C) Trichuris trichiura only
D) Both T. spiralis and T. trichiura
E) Both T. spiralis and C. philippinensis
F) None of the choices
ANSWER: A
Nematodes have somatic muscles that allow flexion of the body. Which of the
following types of somatic muscles are capable of doing so?
A) circular fibers
B) longitudinal fibers
C) smooth muscle fibers
D) skeletal muscle fibers
ANSWER: B
Nocturnal pruritus ani is caused by:
A) Adult ascaris migrating into the anus
B) Female adult enterobius laying eggs in the anus
C) Hookworm larvae migrating into the anus
D) Presence of threadworm in the anal area
ANSWER: B
Non complement mediated attachment in merozoites and inovlevment of Duffy Antigen
is seen in:
A) P. vivax
B) P. ovale
C) P. malariae
D) P. falciparum
ANSWER: A
Ocular larva migrans is due to:
A) Rat lung worm
B) Angiostrongylus
C) Toxocara
D) Gnathostoma
ANSWER: C
Pathology observed in Capillaria philippenensis EXCEPT:
A) Electrolyte imbalance
B) enteropathy
C) borborygmi
D) Anemia
ANSWER: D
Perianal skin penetration of S. stercoralis is part of
A) External autoinfection
B) Internal autoinfection
C) External cross infection
D) Internal cross infection
ANSWER: A
Pigs and rats are the sources of infection to men:
A) Trichinella spiralis
B) Trichuris trichiura
C) Capillaria philippenensis
D) Ascaris lumbricoides
ANSWER: A
Property unique to P. falciparum:
A) Same size as RBC
B) Pleomorphic ring forms
C) Microgametocyte
D) Stipplings
ANSWER: B
Quartan malaria is due to:
A) P. malariae
B) P. vivax
C) P. ovale
D) P. falciparum
ANSWER: A
Rat or rodent lung worm is the common name of:
A) Angiostrongylus cantonensis
B) Ancylostoma braziliense
C) Toxocara canis
D) Toxocara cati
ANSWER: A
Rectal prolapse
A) Trichinella spiralis only
B) Capillaria philippinensis only
C) Trichuris trichiura only
D) Both T. spiralis and T. trichiura
E) Both T. spiralis and C. philippinensis
F) None of the choices
ANSWER: C
Rhabditform larva of S. stercoralis in soil transforming into adult is:
A) Direct phase
B) Free living phase
C) Parasitic phase
D) Intermediate phase
ANSWER: B
Rings that are 1/3 to ½ of the RBC diameter belong to:
A) P. vivax
B) P. falciparum
C) P. malariae
D) P. ovale
ANSWER: A
Rings usually 1/5 of the RBC diameter belong to:
A) P. falciparum
B) P. vivax
C) P. ovale
D) P. maairae
ANSWER: A
Role of man in Anisakiasis:
A) Accidental host
B) final host
C) 1st intermediate host
D) paratenic host
ANSWER: A
Role of man in Gnathostoma
A) Final host
B) accidental host
C) 1st intermediate host
D) 2nd intermediate host
ANSWER: B
Role of man in rodent lung worm infection:
A) Accidental host
B) final host
C) 1st intermediate host
D) 2nd intermediate host
ANSWER: A
Role of mollusk in rodent lung worm infection
A) Final host
B) intermediate host
C) definitive host
D) paratenic host
ANSWER: B
Schizonts are rarely seen in:
A) P. vivax
B) P. falciparum
C) P. ovale
D) P. maalriae
ANSWER: A
Sexual reproduction of malaria occurs at the?
A) Extrinsic phase
B) Intrinsic phase
C) Human
D) None of the choices
ANSWER: A
Sexual stages occur in the:
A) Female mosquito
B) Male mosquito
C) Human male
D) Human female
ANSWER: A
Sinton and Mulligna’s are found in:
A) P. knowlesi
B) P. vivax
C) P. malariae
D) P. falciparum
ANSWER: A
Specimen used to diagnose A. cantonensis:
A) Stool
B) urine
C) sputum
D) CSF
ANSWER: D
The cause of almost all fatalities in malaria is due to infection with:
A) P. falciparum
B) P. vivax
C) P. ovale
D) P. malariae
ANSWER: A
The following are pathogenesis of malaria:
A) Tissue anoxia
B) Anemia
C) D.I.C.
D) All of the choices are correct
ANSWER: D
The following conditions may offer some kind of immunity from malaria
A) G6PD deficiency
B) Sickle cell anemia
C) PABA deficiency
D) All of the choices are correct
ANSWER: D
The gold standard In the laboratory diagnosis of malaria is:
A) Rapid diagnostic tests
B) Demonstration of histidine rich proteins
C) Light microscopy
D) Serologic tests
ANSWER: C
The integument system of roundworms consists of non-nucleated cuticula, which
is/are secreted by which of the following?
A) epidermis only
B) hypodermis only
C) Both hypodermis and epidermis
D) None of the choices is correct
ANSWER: B
The location of the nerve center of nematode can be found in which of the following
areas?
A) caudal region
B) circum-esophageal
C) terminal region
D) mid ventral region
ANSWER: B
The natural hosts of Gnathostoma are:
A) Domestic dogs and cats
B) Mountain crab
C) Snail
D) Aquatic plants
ANSWER: A
The shell of E. vermicularis is:
A) Decorticated
B) Thin and transparent
C) is hard and bilaterally convex
D) Any of the other choices
ANSWER: B
Third stage larva of Gnathostoma is infective to:
A) Dogs and cats
B) man
C) snails
D) mosquitoes
ANSWER: A
Tissue anoxia can be caused by
A) Microthrombi formation only
B) RBC destruction only
C) Both microthrombi formation and RBC destrcution
D) None of the choices
ANSWER: C
Toxocara’s Infective stage to man :
A) Filariform larve
B) rhabditiform larva
C) eggs
D) microfilariae
ANSWER: C
Toxocariasis causes:
A) Cutaneous Larva Migrans
B) Visceral larva migrans
C) chloangiocarcinoma
D) biharziasis
ANSWER: B
True of malignant tertian malaria, except:
A) Most common in Palawan
B) Pleomorphic forms
C) Only species with microgametocyte
D) May be transmitted across placenta
ANSWER: C
Typical malaria paroxysm is described with which of the sequence of events?
A) fever – sweating – chills
B) chills – fever – sweating
C) fever – chills – sweating
D) sweating – chills – fever
ANSWER: B
Unadapted worms are named as such because:
A) They never reach maturity in man.
B) They are hermapthroditic.
C) No pathology is observed in humans.
D) Only the pathogenic ones can reach adulthood in man.
ANSWER: A
Used in malarial species identification
A) Thin smear only
B) PCR only
C) Both thin smear and PCR
D) None of the choices
ANSWER: C
Visceral Larva Migrans causes hepatomegaly and an increase in :
A) Eosinophils
B) basophils
C) neutrophils
D) lymphocytes
ANSWER: A
What form of malaria reproduces in the mosquito?
A) Gametocyte
B) Merozoite
C) Trophoozoite
D) Schizont
ANSWER: A
What is not released in the bloodstream during fever in a malarial infection?
A) Sporozoites
B) Toxic products
C) Hemoglobin
D) All choices are possibly released
ANSWER: A
What is the characteristic shape of P. falciparum gametocytes ?
A) Crescent
B) Round
C) Oval
D) Square
ANSWER: A
What is the definitive host of Plasmodium malariae?
A) Human
B) Anopheles
C) Both human and mosquito serves as its definitive host
D) None of the choices are correct
ANSWER: B
What is the ideal time for collection of blood to diagnose malaria?
A) At the peak of fever
B) When the fever is ending
C) Before the expected time of fever
D) Just as the fever started
ANSWER: C
What stain is utilized for demonstration of malarial diagnostic stages ?
A) Giemsa
B) Wright
C) H & E
D) Brown and Brenn
ANSWER: A
Which is embedded in the anterior portion of the cecal wall?
A) Trichinella spiralis
B) Capillaria philippenensis
C) Trichuris trichiura
D) Ascaris lumbricoides
ANSWER: C
Which is NOT a name associated with E. vermicularis?
A) Oxyuriasis
B) Social media worm
C) Seat worm
D) None of the other choices
ANSWER: B
Which o fthe following types of esophagus is seen in Trichinelloidea?
A) rhabditiform
B) stichosome
C) strongiliform
D) spiruroid
ANSWER: B
Which of the following are able to pass through the placenta or mammary glands
resulting to infection of the unborn baby, EXCEPT:
A) Strongyloides stercoralis
B) Ancylostoma
C) Toxocara
D) Angiostrongylus cantonensis
ANSWER: D
Which of the following cause disease by mechanical or allergic process
A) Trichinella spiralis
B) Capillaria philippenensis
C) Trichuris trichiura
D) None of the choices are correct
ANSWER: C
Which of the following has cutting plate?
A) A. duodenale
B) A. braziliense
C) N. americanus
D) None of the other choices
ANSWER: C
Which of the following processes is/are involved in the transformation of
Adenophorea larva?
A) binary fission only
B) moulting only
C) Both moulting and binary fission
D) None of the choices is correct
ANSWER: B
Which of these is not usually used when comparing the diagnostic stages of the
different malarial species ?
A) Merozoite
B) Trophozoite
C) Schizont
D) Gametocye
ANSWER: A
Which of these is the most usual feature of patients with malaria ?
A) Headache
B) Regular febrile paroxysms
C) Hemoglobinuria
D) Anemia
ANSWER: B
Which plasmodia species is larger than RBC?
A) P. vivax
B) P. falciparum
C) P. malariae
D) None of the choices
ANSWER: A