Week IX: Question Bank

Subject: Laboratory Diagnostic Methods

Subject Code: MEDM 245
Topics: Entamoeba histolytica, Giardia Lamblia, and Plamodium spp.

Q1. Multiple choice question

i) Laboratory diagnosis of Entamoeba histolytica depends on identification in the ___________.

a) blood
b) urine
c) saliva
d) stool

ii). Entamoeba histolytica can be cultured in

(a) Diamonds medium

(b) CLED medium

(c) NNN medium

(d) Ma conkey agar

iii) Presence of ingested RBCs is a characteristic feature of

(a) Entamoeba histolytica

(b) Dientamoeba fragilis

(c) Entamoeba coli

(d) Iodamoeba butcheli

iv) The most common site for amoebiasis is:

(a) Cecum

(b) Sigmoid colon

(c) Transverse colon

(d) Hepatic flexure

v) In tissues, amoebiasis is treated with

(a) Tinidazole

(b) Nitazoxanide

(c) Metronidazole

(d) Any of these

vi) Entamoeba histolytica cysts have _________ nuclie

(a) 1-4

(b) 5

(c) 9

(d) 6-8

vi) Animals that are routinely infected with a protozoan or parasite are termed as _______________
a) definitive host
b) intermediate host
c) reservoir host
d) parasitic host

vii) Malabsorption and atrophy of the villi may be caused by the following intracellular intestinal
parasite :

a) Giardia lamblia

b) Capillaria philippinensis

c) Cyclospora cayetanensis

d) Strongyloides stercoralis

viii) Charcot-Leyden crystals could be present in stool in :

a) Giardiasis

b) Leishmaniasis

c) Amoebiasis

d) Cryptosporidiosis

ix) In plasmodium falciparum infection, sporogony occurs in:

a) Human RBCs

b) Human liver cells

c) Female Anopheles

d) Blood capillaries of internal organs

x)Malaria parasites that have special affinity to old RBCs include:

a) Plasmodium malariae

b) Plasmodium ovale

c) Plasmodium vivax

d) Plasmodium falciparum
 .
Q2.

a) What is your provisonal diagnosis?

b) Enumerate the laboratory methods used to confirm your diagnose .

Q3. A patient visited the physician complaining about fever, profuse diarrhoea, abdominal pain ,
anorexia, and jaundice. The doctor ordered a stool examonation. Microscopic examination of stool
revealed the structure shown in the figure below:

a) What is your diagnosis in this stage?

b) How was patient infected? Name the infective stage.

c) What are the other methods of diagnosis to confirm the infection?

d) What can be the complications of this parasitic infection?